Active NPI
David a. Dunworth, D.O., P.C.
- Surgery Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A-111099
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Alan Dunworth, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT0793 | Other | NM | RR MEDICARE |
| 93151870 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Farmington, NM
- NPI 1245341635
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.