Individual provider Active NPI

Dennis Jacokes, M.D.

  • Family Medicine Physician
  • Durham, NC
National Provider Identifier
1922193143
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35381 Issued in NC
Practice address
4309 Emperor Blvd
Ste 125
Durham, NC 27703-8045
Phone
(919) 941-0158
Fax
(919) 474-3130
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35381 NC Primary

Addresses

Primary practice location

4309 Emperor Blvd
Ste 125
Durham, NC 27703-8045

Mailing address

4309 Emperor Blvd
Ste 125
Durham, NC 27703-8045
Phone (919) 941-0158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000014 NC Practitioner - Family Practice 4385801331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Center Family Medicine and Immediate Care PLLC Family Medicine CurrentSince Nov 1, 1999 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

4309 Emperor Blvd
Ste 125
Durham, NC 27703
Phone (919) 941-0158

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9649/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1922193143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 EMPEROR BLVD",
            "address_2": "STE 125",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038045",
            "telephone_number": "919-941-0158",
            "fax_number": "919-474-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 EMPEROR BLVD",
            "address_2": "STE 125",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038045",
            "telephone_number": "919-941-0158",
            "fax_number": "919-474-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOKES",
        "first_name": "DENNIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "35381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.