Provider Demographics
NPI:1336248939
Name:DENNIS, JOSEPH M (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:DENNIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W PARKER RD
Mailing Address - Street 2:STE 505
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2359
Mailing Address - Country:US
Mailing Address - Phone:972-801-9992
Mailing Address - Fax:469-241-9412
Practice Address - Street 1:930 W PARKER RD
Practice Address - Street 2:STE 505
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2359
Practice Address - Country:US
Practice Address - Phone:972-801-9992
Practice Address - Fax:469-241-9412
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC8678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX607051OtherBCBS
TX753062995OtherTAX ID #
TX$$$$$$$$$OtherSOCIAL SECURITY #
TX607051OtherBCBS
TXU83032Medicare UPIN