Active NPI
Pierre Dunem
- Contractor
- Hixson, TN
National Provider Identifier
1326588237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 000883794
- Practice address
- 4610 Plaza Hills LN
A3
Hixson, TN 37343-4749 - Phone
- (678) 306-6357
- Fax
- (423) 352-7165
- NPI assigned
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 000883794 | TN | Primary |
Addresses
Primary practice location
4610 Plaza Hills LN
A3
Hixson, TN 37343-4749
Mailing address
4610 Plaza Hills LN
A3
Hixson, TN 37343-4749
Phone (678) 306-6357
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 |
|---|---|---|---|
| 000883794 | TN | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1326588237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 PLAZA HILLS LN",
"address_2": "A3",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434749",
"telephone_number": "678-306-6357",
"fax_number": "423-352-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 PLAZA HILLS LN",
"address_2": "A3",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434749",
"telephone_number": "678-306-6357",
"fax_number": "423-352-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNEM",
"first_name": "PIERRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TN",
"license": "000883794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.