Active NPI
Richard E Dunn, D.D.S., M.S.
- Dentist
- Visalia, CA
National Provider Identifier
1174718878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 301811
- Practice address
- 101 W Tulare Ave
Visalia, CA 93277-4811 - Phone
- (559) 625-3030
- Fax
- (559) 625-4015
- NPI assigned
- Sep 6, 2007
- 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 | 301811 | CA | Primary |
Addresses
Primary practice location
101 W Tulare Ave
Visalia, CA 93277-4811
Mailing address
101 W Tulare Ave
Visalia, CA 93277-4811
Phone (559) 625-3030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CGP165926 | Medicaid | CA | |
| B301811 | Medicaid | CA |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Dunn DDS Ms Inc | Dentist | 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.
-
- Dentist
- Visalia, CA
- NPI 1730214867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1174718878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774811",
"telephone_number": "559-625-3030",
"fax_number": "559-625-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774811",
"telephone_number": "559-625-3030",
"fax_number": "559-625-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "301811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CGP165926",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B301811",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.