Organization Active NPI

Gunnell DDS and Van Oostendorp DDS

Doing business as Marion Family Dental

  • General Practice Dentistry
  • Marion, NC
National Provider Identifier
1376047738
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GUNNELL DDS AND VAN OOSTENDORP DDS
Doing business as
Marion Family Dental
Practice address
55 Morgan St
Marion, NC 28752-4935
Phone
(828) 652-6967
NPI assigned
Mar 21, 2018
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNNELL DDS AND VAN OOSTENDORP DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Jessica Milam
Title
Office Manager
Phone
(828) 652-6967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC Primary

Addresses

Primary practice location

55 Morgan St
Marion, NC 28752-4935

Mailing address

55 Morgan St
Marion, NC 28752-4935
Phone (828) 652-6967

Other names 1

  • Marion Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Gunnell DDS and Van Oostendorp DDS

Locations

55 Morgan St
Marion, NC 28752
Phone (828) 652-6967

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1376047738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MORGAN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524935",
            "telephone_number": "828-652-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MORGAN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524935",
            "telephone_number": "828-652-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNELL DDS AND VAN OOSTENDORP DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNNELL DDS AND VAN OOSTENDORP DDS",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-652-6967"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.