Denk Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

055280 Issued in GA

Legal business name

DENK INC

Practice address

4015 S Cobb Dr SE
Suite 115
Smyrna, GA 30080-6303

Phone

(678) 519-0706

NPI assigned

Jun 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dominic E Nkwocha, M.D.NPI 1942221718

Title

President

Phone

(404) 441-8809

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Dominic Emeka Nkwocha, MD

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1942221718
  Medicare reassignment NPD Authorized official
• Tabitha McJunkins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Monrovia, CA
  • NPI 1659869865
  NPD (past)

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212883200000",
    "number": "1942469507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE",
            "address_2": "SUITE 115",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806303",
            "telephone_number": "404-441-8809",
            "fax_number": "770-436-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE",
            "address_2": "SUITE 115",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806303",
            "telephone_number": "678-519-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A",
        "authorized_official_last_name": "NKWOCHA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-441-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "055280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "055280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD429169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Delva, PHARM. D.
• Megha Delvadia
• Thomas John Demarco, MD
• Frank Demarino, MD
• Denise Shipman, MD, Inc
• Dennis W de Give DC PC
• Reignah Dennis
• Dentfirst PC
• Joel Louis Desaulniers, DC
• June Deschamps

• Psychiatry Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.