Active NPI
John C. Gunn, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Clarksville, TN
National Provider Identifier
1033121942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS0000005220
- Practice address
- 2145 Old Ashland City Rd
Clarksville, TN 37043-4906 - Phone
- (931) 648-0819
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS0000005220 | TN | Primary |
Addresses
Primary practice location
2145 Old Ashland City Rd
Clarksville, TN 37043-4906
Mailing address
2145 Old Ashland City Rd
Clarksville, TN 37043-4906
Phone (931) 648-0819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621624529 | Other | TN | FEIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310860800000",
"number": "1033121942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 OLD ASHLAND CITY RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434906",
"telephone_number": "931-648-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 OLD ASHLAND CITY RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434906",
"telephone_number": "931-648-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "JOHN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2011-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "DS0000005220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN",
"identifier": "621624529",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.