Individual provider Active NPI

Eric Dunn

  • General Practice Dentistry
  • Oxford, OH
National Provider Identifier
1053475277
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.022862 Issued in OH
Practice address
600 McGuffey Ave
Oxford, OH 45056-2028
Phone
(513) 523-7541
Fax
(513) 523-7542
NPI assigned
Dec 21, 2006
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.022862 OH Primary

Addresses

Primary practice location

600 McGuffey Ave
Oxford, OH 45056-2028

Mailing address

600 McGuffey Ave
Oxford, OH 45056-2028
Phone (513) 523-7541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604002750 OH Order and Referring Only - Other (Non-Physician) 3072834878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.022862OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eric S Dunn DDS Inc PastSince Nov 1, 2013 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1053475277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCGUFFEY AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562028",
            "telephone_number": "513-523-7541",
            "fax_number": "513-523-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCGUFFEY AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562028",
            "telephone_number": "513-523-7541",
            "fax_number": "513-523-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.