Active NPI
Isaac Bunker, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pleasant Grove, UT
National Provider Identifier
1215662457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13766591-9926
- Practice address
- 1234 E 300 S
Pleasant Grove, UT 84062-3202 - Phone
- (303) 961-4841
- NPI assigned
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL15300 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13766591-9926 | UT | Primary |
Addresses
Primary practice location
1234 E 300 S
Pleasant Grove, UT 84062-3202
Mailing address
1234 E 300 S
Pleasant Grove, UT 84062-3202
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 |
|---|---|---|---|
| DL15300 | MA | MD | Dentist |
| 13766591-9926 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1215662457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E 300 S",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 E 300 S",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623202",
"telephone_number": "303-961-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNKER",
"first_name": "ISAAC",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-21",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL15300",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "13766591-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.