John Clayton Tunnell, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29184 Issued in TX

Practice address

4144 N Central Expy Ste 1205
Dallas, TX 75204-2190

Phone

(469) 640-6730

NPI assigned

Jul 19, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 14, 2018 through Nov 14, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John C Tunnell DDS Ms PLLC

  • Periodontics
  • Dallas, TX
  • NPI 1205589413
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1023450970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY STE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042190",
            "telephone_number": "469-640-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY STE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042190",
            "telephone_number": "469-640-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNELL",
        "first_name": "JOHN",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "29184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hari Sai Tunga
• Pooja Tunikipati, OD
• Samantha Ripmakat Tunkuda, ARNP
• Jade Tunnell, M.S., R.D., L.D.
• Jarrod Perry Tunnell
• Madhuri Tunuguntla, MD
• Tuoc N. Dao, M.D., P.a.
• Nguyet Tuong, AGACNP
• Tuongthao Bui Investment, PLLC
• Abigail Tupper

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.