Active NPI
Alston Elmo Dunbar III, M.D.
- Neonatal-Perinatal Medicine Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2023-00091
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-3489 - Phone
- (336) 713-6428
- Fax
- (336) 716-2525
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD.13478R | LA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2023-00091 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-3489
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-0238
Other practice location 1
8300 Constantin Blvd
Baton Rouge, LA 70809-3489
Phone (225) 374-4325
Other practice location 2
500 Rue De La Vie St
Suite 405
Baton Rouge, LA 70817-5128
Phone (225) 928-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1569861 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.13478R | LA | MD | Neonatal-Perinatal Medicine Physician |
| 2023-00091 | NC | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Baton Rouge Neonatal Associates, Inc. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Baton Rouge Neonatal Associates, Inc. | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- adunbar2894850@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Internal Medicine Physician
- Arden, NC
- NPI 1366912586
-
- Critical Care Neonatal Nurse Practitioner
- Baton Rouge, LA
- NPI 1225484298
-
- Neonatal-Perinatal Medicine Physician
- Baton Rouge, LA
- NPI 1922193911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1124027123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271573489",
"telephone_number": "336-713-6428",
"fax_number": "336-716-2525"
}
],
"practiceLocations": [
{
"address_1": "8300 Constantin Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708093489",
"country_code": "US",
"telephone_number": "225-374-4325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Rue De La Vie St",
"address_2": "Suite 405",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708175128",
"country_code": "US",
"telephone_number": "225-928-2555",
"fax_number": "225-929-9685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNBAR III",
"first_name": "ALSTON",
"middle_name": "ELMO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "LA",
"license": "MD.13478R",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NC",
"license": "2023-00091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1569861",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.