Organization Active NPI

Craig M Dunn, MD, PA

  • Medical Specialty Clinic/Center
  • Sarasota, FL
National Provider Identifier
1386902831
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
53001 Issued in FL
Legal business name
CRAIG M DUNN, MD, PA
Practice address
3912 Dearborn Ave
Sarasota, FL 34231-4502
Phone
(941) 925-8000
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Craig M Dunn, MDNPI 1386793735
Title
Owner
Phone
(941) 925-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 53001 FL Primary

Addresses

Primary practice location

3912 Dearborn Ave
Sarasota, FL 34231-4502

Mailing address

3912 Dearborn Ave
Sarasota, FL 34231-4502
Phone (941) 925-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000276 FL Part B Supplier - Clinic/Group Practice 1052574613 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

3912 Dearborn Ave
Sarasota, FL 34231
Phone (813) 925-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1386902831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 DEARBORN AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314502",
            "telephone_number": "941-925-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 DEARBORN AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314502",
            "telephone_number": "941-925-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG M DUNN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-925-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "53001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.