Organization Active NPI

Corwin R Dunn

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1053597997
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35029554 Issued in OH
Legal business name
CORWIN R DUNN
Practice address
2123 Auburn Ave
Suite 242
Cincinnati, OH 45219-2906
Phone
(513) 474-9800
Fax
(513) 474-9805
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Jill Michele Latham
Title
Office Manager
Phone
(513) 474-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 35029554 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Suite 242
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Suite 242
Cincinnati, OH 45219-2906
Phone (513) 474-9800

Other identifiers 2

IdentifierTypeStateIssuer
0286677MedicaidOH
356476167900MedicaidKY

National Provider Directory

National Provider Directory

Locations

2223 Auburn Ave
Ste 3
Cincinnati, OH 45219
Phone (513) 721-2024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1053597997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 242",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-474-9800",
            "fax_number": "513-474-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 242",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-474-9800",
            "fax_number": "513-474-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORWIN R DUNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-474-9800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35029554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286677",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356476167900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.