Active NPI
Dennis M Dunne, DDS
- Pediatric Dentistry
- Eugene, OR
National Provider Identifier
1144255043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7323
- Practice address
- 1600 Executive Pkwy
Suite 350
Eugene, OR 97401-2138 - Phone
- (541) 485-0175
- Fax
- (541) 344-5129
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7323 | OR | Primary |
Addresses
Primary practice location
1600 Executive Pkwy
Suite 350
Eugene, OR 97401-2138
Mailing address
1600 Executive Pkwy
Suite 350
Eugene, OR 97401-2138
Phone (541) 485-0175
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150455 | Medicaid | OR | |
| 240580 | Medicaid | OR | |
| 93-1266899 | Other | OR | TAX ID |
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 |
|---|---|---|---|
| 7323 | OR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis M Dunne DDS PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1144255043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 EXECUTIVE PKWY",
"address_2": "SUITE 350",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012138",
"telephone_number": "541-485-0175",
"fax_number": "541-344-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EXECUTIVE PKWY",
"address_2": "SUITE 350",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012138",
"telephone_number": "541-485-0175",
"fax_number": "541-344-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "DENNIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "7323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150455",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240580",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "93-1266899",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.