Active NPI
Jackson Michael Gunter, DMD
- General Practice Dentistry
- Auburn, AL
National Provider Identifier
1306575493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D0007027C1
- Practice address
- 742 N Dean Rd
Auburn, AL 36830-4300 - Phone
- (334) 521-2233
- NPI assigned
- Jun 6, 2022
- 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 Dentistry | 1223G0001X | D0007027C1 | AL | Primary |
Addresses
Primary practice location
742 N Dean Rd
Auburn, AL 36830-4300
Mailing address
1112 E Collinwood Cir
Opelika, AL 36801-2700
Phone (334) 275-5068
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0007027C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1306575493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 E COLLINWOOD CIR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368012700",
"telephone_number": "334-275-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 N DEAN RD",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304300",
"telephone_number": "334-521-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "JACKSON",
"middle_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D0007027C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.