Dunham Enterprises, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2008-00186 Issued in NC

Legal business name

DUNHAM ENTERPRISES, PA

Doing business as

Dunham Healthcare

Practice address

170 Whitmore Cove CT
Clemmons, NC 27012-8883

Phone

(252) 258-0480

NPI assigned

Sep 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mayisha W Dunham, M.D.

Title

Officer/Owner

Phone

(252) 258-0480

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Dunham Healthcare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Bergs, FNP

  • Nurse Practitioner
  • Fargo, ND
  • NPI 1366408395
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1285884288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WHITMORE COVE CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128883",
            "telephone_number": "252-258-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WHITMORE COVE CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128883",
            "telephone_number": "252-258-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNHAM ENTERPRISES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "MAYISHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "252-258-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-01758",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2008-00186",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2005-01758",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2005-01758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD REG NO.",
            "identifier": "151347",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYISHA DUNHAM NPI",
            "identifier": "1588863161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "DQ0513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYISHA DUNHAM PTAN",
            "identifier": "P00810246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunham Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dunham Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisabeth Dowlen
• Brian William Downs, MD
• Rose Kordich Doyle, CRNA
• Stephanie Caudle Draker, NP-C
• Brett Terill Duffey Sr., OT L
• Jonathan Richard Dunn, CRNA
• Clare Haley Ealley, PA-C
• Eckerd Corporation
• Elms at Tanglewood, LLC
• Nicholas Charles Embroz

• Physical Medicine & Rehabilitation Physician in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.