Rachel Marie Dunlop, D.D.S., M.S.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12011456A Issued in IN

Practice address

9270 Wicker Ave Ste Eandf
Saint John, IN 46373-8508

Phone

(219) 627-3133

NPI assigned

Jun 1, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184944159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9270 WICKER AVE STE EANDF",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738508",
            "telephone_number": "219-627-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 WICKER AVE STE EANDF",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738508",
            "telephone_number": "219-627-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 45th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213959",
            "country_code": "US",
            "telephone_number": "219-405-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLOP",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011456A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12011456A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Diakos, MD
• Hannah Marie Didonato
• Allison Difiore
• Irene Dmitruk, DO
• Kelli Driscoll
• Karen E Ehler
• Jennifer M. Ehlin, MED. , C.O.T.A
• Unyime Ekanem, FNP
• William Mahrous Elgendi, RPT
• Fady Elmalh, P.T

• Pediatric Dentistry in Saint John, IN
• Providers in Saint John, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.