Individual provider Active NPI

Kaila Christine Dunn, D.D.S.

  • General Practice Dentistry
  • Millersburg, OH
National Provider Identifier
1164870549
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.24758 Issued in OH
Practice address
135 S Clay St
Millersburg, OH 44654-1307
Phone
(330) 674-8080
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.24758 OH Primary

Addresses

Primary practice location

135 S Clay St
Millersburg, OH 44654-1307

Mailing address

135 S Clay St
Millersburg, OH 44654-1307
Phone (330) 674-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 25, 2016 through Oct 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.24758OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dunn, DDS. LLC CurrentSince Oct 11, 2020 Accepting new patients
Earney Dental Associates Inc General Practice Past Accepting new patients

Locations

135 S Clay St
Millersburg, OH 44654
Phone (330) 674-8080

Organizations & group practices 2

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1164870549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S CLAY ST",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541307",
            "telephone_number": "330-674-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S CLAY ST",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541307",
            "telephone_number": "330-674-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KAILA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.24758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.