Active NPI
J Dunckelmeyer MD PLLC
- Anesthesiology Physician
- Orange, CA
National Provider Identifier
1053030130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- J DUNCKELMEYER MD PLLC
- Practice address
- 681 S Parker St Ste 150
Orange, CA 92868-4761 - Phone
- (714) 744-0900
- Fax
- (714) 744-9232
- NPI assigned
- Aug 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorg Dunckelmeyer, MD
- Title
- President
- Phone
- (702) 768-5875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
681 S Parker St Ste 150
Orange, CA 92868-4761
Mailing address
22 Olive Ridge Dr
Las Vegas, NV 89135-7892
Phone (702) 768-5875
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1053030130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 OLIVE RIDGE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891357892",
"telephone_number": "702-768-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 S PARKER ST STE 150",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684761",
"telephone_number": "714-744-0900",
"fax_number": "714-744-9232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J DUNCKELMEYER MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "DUNCKELMEYER",
"authorized_official_first_name": "JORG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-768-5875",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.