Organization Active NPI

Deason C. Dunagan MD, PC

  • Plastic and Reconstructive Surgery Physician
  • Huntsville, AL
National Provider Identifier
1275759821
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
8642 Issued in AL
Legal business name
DEASON C. DUNAGAN MD, PC
Practice address
303 Williams Ave SW
Suite 1421
Huntsville, AL 35801-6012
Phone
(256) 536-4448
Fax
(256) 533-4583
NPI assigned
Apr 18, 2007
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Deason C Dunagan, MD
Title
President
Phone
(256) 536-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 8642 AL Primary

Addresses

Primary practice location

303 Williams Ave SW
Suite 1421
Huntsville, AL 35801-6012

Mailing address

303 Williams Ave SW
Suite 1421
Huntsville, AL 35801-6012
Phone (256) 536-4448

Other identifiers 1

IdentifierTypeStateIssuer
000003965MedicaidAL

National Provider Directory

National Provider Directory

Locations

303 Williams Ave SW
Ste 1421
Huntsville, AL 35801
Phone (256) 536-4448

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1275759821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW",
            "address_2": "SUITE 1421",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-536-4448",
            "fax_number": "256-533-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW",
            "address_2": "SUITE 1421",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-536-4448",
            "fax_number": "256-533-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEASON C. DUNAGAN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "DEASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-536-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "8642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003965",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.