Organization Active NPI

Jocelyn B Dunham, MD,PA

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1104094762
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1979 Issued in TX
Legal business name
JOCELYN B DUNHAM, MD,PA
Practice address
3041 Churchill Dr
Suite 500
Flower Mound, TX 75022-2706
Phone
(972) 724-0500
Fax
(972) 724-0501
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Jocelyn B Dunham, MDNPI 1518960210
Title
Physician/Owner
Phone
(972) 724-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J1979 TX Primary

Addresses

Primary practice location

3041 Churchill Dr
Suite 500
Flower Mound, TX 75022-2706

Mailing address

3041 Churchill Dr
Suite 500
Flower Mound, TX 75022-2706
Phone (972) 724-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000471 TX Part B Supplier - Clinic/Group Practice 9032197561 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

3700 Forums Dr
Ste 200
Flower Mound, TX 75028
Phone (972) 724-0500

3041 Churchill Dr
Ste 500
Flower Mound, TX 75022
Phone (972) 724-0500

Practitioners & affiliated clinicians

Practitioners 3

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": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1104094762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "SUITE 500",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-724-0500",
            "fax_number": "972-724-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "SUITE 500",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-724-0500",
            "fax_number": "972-724-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOCELYN B DUNHAM, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-724-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.