Active NPI
Joeming Wolfe Dunn, M.D.
- General Practice Physician
- San Antonio, TX
National Provider Identifier
1295809267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- J5568
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142935901 | Medicaid | TX | |
| 142778301 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090420000497 | TX | Practitioner - Family Practice | 0941289425 | Practice locations: San Antonio, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| J5568 | TX | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.