Organization Active NPI

Dennison Renal Care, Inc.

  • Nephrology Physician
  • Columbus, OH
National Provider Identifier
1912069212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34004176W Issued in OH
Legal business name
DENNISON RENAL CARE, INC.
Practice address
985 W 3Rd Ave
Columbus, OH 43212-3109
Phone
(614) 291-0022
Fax
(614) 291-6687
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Henry Lee Wehrum, D.O.NPI 1033213137
Title
President, Ceo
Phone
(614) 291-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 34004176W OH Primary

Addresses

Primary practice location

985 W 3Rd Ave
Columbus, OH 43212-3109

Mailing address

985 W 3Rd Ave
Columbus, OH 43212-3109
Phone (614) 291-0022

Other identifiers 1

IdentifierTypeStateIssuer
0841763MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000332 OH Part B Supplier - Clinic/Group Practice 3375576655 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH; Coumbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0885758Dennison Renal Care Inc985 West Third Avenue, Columbus, OH 43212Provider-performed microscopyAug 31, 2027

National Provider Directory

National Provider Directory

Locations

4500 W Broad St
Columbus, OH 43228
Phone (614) 853-5995

299 Outerbelt St
Columbus, OH 43213
Phone (614) 501-7224

1299 Olentangy River Rd
Spc Of
Columbus, OH 43212
Phone (614) 294-5757

211 Stocksdale Dr
Lowr
Marysville, OH 43040

421 Colemans Crossing Blvd
Marysville, OH 43040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912069212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123109",
            "telephone_number": "614-291-0022",
            "fax_number": "614-291-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123109",
            "telephone_number": "614-291-0022",
            "fax_number": "614-291-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNISON RENAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEHRUM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "614-291-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34004176W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0841763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.