Individual provider Active NPI

James Dunn, D.O.

  • Family Medicine Physician
  • Prairie Grove, AR
National Provider Identifier
1083643506
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-0931 Issued in AR
Practice address
621 S Mock St
Prairie Grove, AR 72753-3146
Phone
(479) 422-7212
Fax
(479) 345-5376
NPI assigned
Jun 30, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-0931 AR Primary

Addresses

Primary practice location

621 S Mock St
Prairie Grove, AR 72753-3146

Mailing address

PO Box 8091
Fayetteville, AR 72703-0001
Phone (479) 422-7212

Other practice location 1

4847 Kaylee Ave Ste A
Springdale, AR 72762-0871
Phone (479) 422-7212

Other practice location 2

1583 S Saint Louis St Ste B
Batesville, AR 72501-7627
Phone (870) 613-9995

Other identifiers 3

IdentifierTypeStateIssuer
3541OtherOKOKLAHOMA MEDICAL LICENSE
154659003MedicaidAR
E-0931OtherARARKANSAS STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001298 AR Practitioner - Family Practice 5193613016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

621 S Mock St
Prairie Grove, AR 72753-3146
Phone (479) 422-7212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3541OKMDClinical Social Worker
25810OKMDAnesthesiology Physician
E-0931ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr James Dunn PLLC Family Medicine CurrentSince Aug 8, 2011 Accepting new patients
Access Urgent Care Family Medicine PastSince Apr 30, 2003 Accepting new patients
Richard W. Miles, M.D. & Assoc., PLLC Past Accepting new patients

Locations

670 Rogers Rd
Bella Vista, AR 72715
Phone (479) 876-1847

27 E Appleby Rd
Fayetteville, AR 72703
Phone (479) 444-6390

621 S Mock St
Prairie Grove, AR 72753
Phone (479) 422-7212

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prairie Grove Health and Rehabilitation, LLCPrairie Grove, AR, CCN 045409 Skilled nursing facility Adp of the SNF Sep 1, 2024
Elite HospiceSpringdale, AR, CCN 041538 Hospice W-2 Managing Employee (100%) Mar 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1083643506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8091",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030001",
            "telephone_number": "479-422-7212",
            "fax_number": "479-345-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MOCK ST",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727533146",
            "telephone_number": "479-422-7212",
            "fax_number": "479-345-5376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4847 Kaylee Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620871",
            "country_code": "US",
            "telephone_number": "479-422-7212",
            "fax_number": "479-345-5376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1583 S Saint Louis St Ste B",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017627",
            "country_code": "US",
            "telephone_number": "870-613-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAL LICENSE",
            "identifier": "3541",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154659003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL LICENSE",
            "identifier": "E-0931",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Grove, AR

Sources for this page

Verify at the official NPI Registry.