Active NPI
Glenn W Dunnington, MD
- Urology Physician
- Kennebunk, ME
National Provider Identifier
1265477376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- F3915
- Practice address
- 43 Bayberry Ave
Kennebunk, ME 04043-7607 - Phone
- (903) 491-8065
- NPI assigned
- Jun 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | F3915 | TX | Primary |
| Specialist | 174400000X | F3915 | TX | |
| Urology Physician | 208800000X | 15148 | NH |
Addresses
Primary practice location
43 Bayberry Ave
Kennebunk, ME 04043-7607
Mailing address
43 Bayberry Ave
Kennebunk, ME 04043-7607
Phone (903) 491-8065
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1265477376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BAYBERRY AVE",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040437607",
"telephone_number": "903-491-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 BAYBERRY AVE",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040437607",
"telephone_number": "903-491-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNINGTON",
"first_name": "GLENN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "F3915",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F3915",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NH",
"license": "15148",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.