Individual provider Active NPI

Joeming Wolfe Dunn, M.D.

  • General Practice Physician
  • San Antonio, TX
National Provider Identifier
1295809267
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J5568 Issued in TX
Practice address
5815 Callaghan Rd
Ste 110
San Antonio, TX 78228-1103
Phone
(210) 615-1331
Fax
(210) 614-5029
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J5568 TX Primary

Addresses

Primary practice location

5815 Callaghan Rd
Ste 110
San Antonio, TX 78228-1103

Mailing address

PO Box 40218
San Antonio, TX 78229-1218
Phone (210) 615-1331

Other identifiers 2

IdentifierTypeStateIssuer
142935901MedicaidTX
142778301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090420000497 TX Practitioner - Family PracticePractitioner - Chiropractic 0941289425 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5815 Callaghan Rd
Suite 110
San Antonio, TX 78228-1103
Phone (210) 615-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J5568TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1295809267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291218",
            "telephone_number": "210-615-1331",
            "fax_number": "210-614-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 CALLAGHAN RD",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281103",
            "telephone_number": "210-615-1331",
            "fax_number": "210-614-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JOEMING",
        "middle_name": "WOLFE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J5568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142935901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142778301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.