Individual provider Active NPI

Glenn Dunlap, DPM

  • Podiatrist
  • Pinehurst, NC
National Provider Identifier
1346217031
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
286 Issued in NC
Practice address
6 Regional Dr
Suite a
Pinehurst, NC 28374-8850
Phone
(919) 751-9120
Fax
(919) 751-9170
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 286 NC
Podiatrist 213E00000X 286 NC Primary

Addresses

Primary practice location

6 Regional Dr
Suite a
Pinehurst, NC 28374-8850

Mailing address

PO Box 4839
Pinehurst, NC 28374-4839
Phone (919) 751-9120

Other identifiers 2

IdentifierTypeStateIssuer
08062OtherNCBCBS INDIVIDUAL
890805KMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001095 NC Practitioner - Podiatry 2062480635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Foot SpecialistGroup PAC ID 2668440223, 3 clinicians

Practice addresses (Care Compare)

325 Page Rd BLDG
Suite 3
Pinehurst, NC 28374-8751
Phone (919) 295-9255

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue417
Removal or shaving of skin growth153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
286NCMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Foot Specialist Podiatrist CurrentSince Jul 26, 2004 Accepting new patients
Wound Management Specialists, LLC PastSince Nov 27, 2024 Accepting new patients

Locations

6 Regional Dr
Ste D
Pinehurst, NC 28374
Phone (910) 221-7195

6 Regional Dr
Ste A
Pinehurst, NC 28374
Phone (910) 295-9255

325 Page Rd N
Bldg 3
Pinehurst, NC 28374
Phone (910) 295-2828

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1346217031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4839",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744839",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 REGIONAL DR",
            "address_2": "SUITE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748850",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "286",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "08062",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890805K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.