Active NPI
Judith Erin Dunteman, M.D.
- Family Medicine Physician
- Doral, FL
National Provider Identifier
1245341858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46710
- Practice address
- 7979 NW 21St St
Sjo 4028
Doral, FL 33122-1616 - Phone
- (325) 480-0735
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 46710 | MN | Primary |
Addresses
Primary practice location
7979 NW 21St St
Sjo 4028
Doral, FL 33122-1616
Mailing address
PO Box 25331
Sjo 4028
Miami, FL 33102-5331
Phone (325) 480-0735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46710 | Other | MN | STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46710 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245341858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25331",
"address_2": "SJO 4028",
"city": "MIAMI",
"state": "FL",
"postal_code": "331025331",
"telephone_number": "325-480-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7979 NW 21ST ST",
"address_2": "SJO 4028",
"city": "DORAL",
"state": "FL",
"postal_code": "331221616",
"telephone_number": "325-480-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNTEMAN",
"first_name": "JUDITH",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "46710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "46710",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.