Provider Demographics
NPI:1083736326
Name:OCHEI, DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:OCHEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 BOLTON BOONE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2077
Mailing Address - Country:US
Mailing Address - Phone:469-206-2630
Mailing Address - Fax:214-730-4281
Practice Address - Street 1:2707 BOLTON BOONE DR STE 100
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2077
Practice Address - Country:US
Practice Address - Phone:469-206-2630
Practice Address - Fax:214-730-4281
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R7201OtherBCBSTX PROVIDER #
TX096322509Medicaid
TX14540OtherPARKLAND PROVIDER #
TX752947854OtherTAX ID
TX8B3863Medicare ID - Type UnspecifiedPROVIDER #
TXG62798Medicare UPIN