Healthcare Provider Details

I. General information

NPI: 1174727630
Provider Name (Legal Business Name): DENNIS MENSONIDES R.R.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N 5TH ST
HOT SPRINGS SD
57747-1480
US

IV. Provider business mailing address

1950 INDEPENDENCE DR
TURLOCK CA
95382-6721
US

V. Phone/Fax

Practice location:
  • Phone: 605-745-2000
  • Fax:
Mailing address:
  • Phone: 209-602-3942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number22681
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number38
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number1825
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number1029
License Number StateMT
# 5
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberR-868
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: