Individual provider Active NPI

Frank Raymond Dehnisch Jr., M.D.

  • Family Medicine Physician
  • Beeville, TX
National Provider Identifier
1952376345
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D8190 Issued in TX
Practice address
1602 E Houston St
Suite C
Beeville, TX 78102-5326
Phone
(361) 358-9200
Fax
(361) 358-5513
NPI assigned
Feb 21, 2006
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D8190 TX Primary
General Practice Physician 208D00000X D8190 TX

Addresses

Primary practice location

1602 E Houston St
Suite C
Beeville, TX 78102-5326

Mailing address

210 E Cleveland St
Beeville, TX 78102-4810
Phone (361) 362-3648

Other identifiers 3

IdentifierTypeStateIssuer
89016BOtherTXBLUE CROSS
138712806MedicaidTX
138712814MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111104000249 TX Practitioner - Family Practice 9830135086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D8190TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients
Beeville Medical Associates PLLC Family Medicine PastSince Jan 1, 2010 Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1952376345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E CLEVELAND ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781024810",
            "telephone_number": "361-362-3648",
            "fax_number": "362-288-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E HOUSTON ST",
            "address_2": "SUITE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025326",
            "telephone_number": "361-358-9200",
            "fax_number": "361-358-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNISCH",
        "first_name": "FRANK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D8190",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "D8190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "89016B",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138712806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138712814",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.