Individual provider Active NPI

Kirsten Frances Dunn, MD

  • General Practice Physician
  • Saint Louis, MO
National Provider Identifier
1356617443
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2015012948 Issued in MO
Practice address
1040 N Mason Rd Ste 103
Ste 103
Saint Louis, MO 63141-6361
Phone
(314) 362-5060
Fax
(314) 362-6959
NPI assigned
Mar 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 2015012948 MO Primary

Addresses

Primary practice location

1040 N Mason Rd Ste 103
Ste 103
Saint Louis, MO 63141-6361

Mailing address

660 S Euclid Ave
C B 8058
Saint Louis, MO 63110-1010
Phone (314) 362-5060

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150730011242 MO Practitioner - Internal Medicine 6709106057 Reassigns benefits to 5 organizations
I20210226002112 AR Practitioner - Internal Medicine 6709106057 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 26, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 24, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Apr 14, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Apr 14, 2019 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 14, 2019 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Mar 9, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 26, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste T30
Rogers, AR 72758
Phone (479) 338-3999

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300

621 S New Ballas Rd
Ste 399A
Saint Louis, MO 63141
Phone (314) 251-1820

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 11

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1356617443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8058",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-5060",
            "fax_number": "314-362-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 103",
            "address_2": "STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416361",
            "telephone_number": "314-362-5060",
            "fax_number": "314-362-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KIRSTEN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2015012948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.