Active NPI
Charles Benjamin Dunkley, DO
- Specialist
- Murray, UT
National Provider Identifier
1104900786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1303
- Practice address
- 5417 S Commerce Dr
Murray, UT 84107-5803 - Phone
- (801) 268-2650
- Fax
- (801) 268-3743
- NPI assigned
- Oct 24, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1303 | NV | Primary |
Addresses
Primary practice location
5417 S Commerce Dr
Murray, UT 84107-5803
Mailing address
5417 S Commerce Dr
Murray, UT 84107-5803
Phone (801) 268-2650
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1303 | NV | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1104900786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5417 S COMMERCE DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075803",
"telephone_number": "801-268-2650",
"fax_number": "801-268-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5417 S COMMERCE DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075803",
"telephone_number": "801-268-2650",
"fax_number": "801-268-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKLEY",
"first_name": "CHARLES",
"middle_name": "BENJAMIN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "1303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.