DENNIS DEJESUS MD PA (NPI# 1407019706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407019706 |
| Entity Type | Organization |
| Organization Name | DENNIS DEJESUS MD PA |
| Practice Address |
125 Beaver Dam Rd Columbia SC 29223-3101 |
| Mailing Address |
6324 N Chatham Ave Kansas City MO 64151-2473 |
| Practice Telephone | 8165362300 |
| Practice Fax Number | 8665965119 |
| Mailing Telephone | 8165362300 |
| Mailing Fax Number | 8665965119 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DR. DENNIS DEJESUS (PRESIDENT) |
| Authorized Official Telephone | 8165362300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 26223 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI DENNIS DEJESUS, MD | 1629067327 | 01 |
| Street Address |
125 BEAVER DAM RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1942659909 | Brainard Cooper | Specialist | 431 Williams, Columbia, SC 29208-4105 | 2016-06-09 |
| 1487028072 | Columbia Urgent Care, Inc | Specialist | 619 N. Providence Road, Columbia, MO 65203 | 2015-11-19 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1235530296 | Touch and Agree Solutions | Specialist | 10724 Cordage Walk, Columbia, MD 21044-3641 | 2014-09-09 |
| 1033521711 | Charles Crawhorn | Specialist | 989 Portland Rd, Columbia, KY 42728-5283 | 2014-05-29 |
| 1235556028 | Allison Hammond | Specialist | 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 | 2014-03-18 |
| 1588908024 | Frederick T Garner, Md, LLC | Specialist | 200 Arbor Lake Dr Ste 120, Columbia, SC 29223-4516 | 2012-11-21 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.