Active NPI
Garrett Gunnell, DDS
- Dentist
- Brevard, NC
National Provider Identifier
1134577018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10386
- Practice address
- 4 Market St
Suite 4202
Brevard, NC 28712-5635 - Phone
- (828) 884-3702
- Fax
- (828) 877-4065
- NPI assigned
- Jun 1, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10386 | NC | Primary |
Addresses
Primary practice location
4 Market St
Suite 4202
Brevard, NC 28712-5635
Mailing address
4 Market St
Suite 4202
Brevard, NC 28712-5635
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 |
|---|---|---|---|
| 10386 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1134577018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MARKET ST",
"address_2": "SUITE 4202",
"city": "BREVARD",
"state": "NC",
"postal_code": "287125635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MARKET ST",
"address_2": "SUITE 4202",
"city": "BREVARD",
"state": "NC",
"postal_code": "287125635",
"telephone_number": "828-884-3702",
"fax_number": "828-877-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNELL",
"first_name": "GARRETT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.