Active NPI
Preston Dunnmon
- Cardiovascular Disease Physician
- Silver Spring, MD
National Provider Identifier
1063835601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 29696
- Practice address
- US Food and Drug Administration
10903 New Hampshire Ave, Wo22 Rm4189 HFD-110
Silver Spring, MD 20993-0002 - Phone
- (301) 796-7640
- NPI assigned
- Feb 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 29696 | NC | Primary |
Addresses
Primary practice location
US Food and Drug Administration
10903 New Hampshire Ave, Wo22 Rm4189 HFD-110
Silver Spring, MD 20993-0002
Mailing address
9029 Charles Augustine Dr
Alexandria, VA 22308-2823
Phone (513) 477-3739
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29696 | NC | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1063835601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9029 CHARLES AUGUSTINE DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223082823",
"telephone_number": "513-477-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US FOOD AND DRUG ADMINISTRATION",
"address_2": "10903 NEW HAMPSHIRE AVE, WO22 RM4189 HFD-110",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209930002",
"telephone_number": "301-796-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNMON",
"first_name": "PRESTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "29696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.