MR. DENNIS DEENESH DEY


Address: 1500 S. Main Street Opc-2nd Floor, Surgical Specialty Ent Clinic, Forth Worth, TX 76104
Phone: (817) 702-3000

MR. DENNIS DEENESH DEY (NPI# 1720323710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720323710
Entity Type Individual
Full Name MR. DENNIS DEENESH DEY
Credential MPAS, PA-C, MBBS,
Practice Address 1500 S. Main Street Opc-2nd Floor
Surgical Specialty Ent Clinic
Forth Worth
TX 76104
Mailing Address 1500 S. Main Street Opc 2nd Floor
Jps Hospital, Surgical Specialty Ent Clinic
Forth Worth
TX 76104
Practice Telephone (817) 702-3000
Practice Fax Number 8177026249
Mailing Telephone (817) 702-3000
Mailing Fax Number 8177026249
Enumeration Date 2012-12-03
Last Update Date 2017-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10469 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA1408 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV NEVADA STATE BOARD OF MEDICAL EXAMINERS PA1408 01
TX TX MEDICAL BOARD/TX PHYSICIAN ASSISTANT BOARD PA10469 01
AZ ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANT LICENSE NUMBER 5315 01
NCCPA 1108882 01

Other Providers DENNIS DEY

NPI Name Taxonomy Address Enumeration
1972546364 Dennis Daniel Dey Psychiatry & Neurology 921 Seton Dr Ste Fandg, Cumberland, MD 21502-1852 2006-06-14

Office Location

Street Address 1500 S. MAIN STREET OPC-2ND FLOOR
SURGICAL SPECIALTY ENT CLINIC
City FORTH WORTH
State TX
Zip Code 76104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City FORTH WORTH
Zip Code 76104

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Dataset Information

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.

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