Organization Active NPI

David a. Dunworth, D.O., P.C.

  • Surgery Physician
  • Farmington, NM
National Provider Identifier
1356624852
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A-111099 Issued in NM
Legal business name
DAVID A. DUNWORTH, D.O., P.C.
Practice address
802 E Navajo St
Farmington, NM 87401-9119
Phone
(505) 215-1120
NPI assigned
Sep 21, 2011
Last updated
Oct 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
David Alan Dunworth, D.O.NPI 1245341635
Title
Surgeon
Phone
(505) 215-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A-111099 NM Primary

Addresses

Primary practice location

802 E Navajo St
Farmington, NM 87401-9119

Mailing address

802 E Navajo St
Farmington, NM 87401-9119
Phone (505) 215-1120

Other identifiers 2

IdentifierTypeStateIssuer
DT0793OtherNMRR MEDICARE
93151870MedicaidNM

National Provider Directory

National Provider Directory

Locations

802 E Navajo St
Farmington, NM 87401
Phone (505) 215-1120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1356624852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E NAVAJO ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019119",
            "telephone_number": "505-215-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E NAVAJO ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019119",
            "telephone_number": "505-215-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. DUNWORTH, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "DUNWORTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "505-215-1120",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "A-111099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DT0793",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93151870",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.