Individual provider Active NPI

Daniel Henry Dunker, MD

  • Interventional Cardiology Physician
  • Parkville, MO
National Provider Identifier
1407809544
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2002007279 Issued in MO
Practice address
5615 Spinnaker PT
Parkville, MO 64152-6109
Phone
(816) 520-3443
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 2002007279 MO Primary

Addresses

Primary practice location

5615 Spinnaker PT
Parkville, MO 64152-6109

Mailing address

5615 Spinnaker PT
Parkville, MO 64152-6109
Phone (816) 520-3443

Other practice location 1

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Other practice location 2

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1884
Phone (906) 635-4460

Other identifiers 1

IdentifierTypeStateIssuer
203814306MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MI, NH, WA, OR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20031204000114 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3678478567 Reassigns benefits to 1 organization
I20231030003804 MI Practitioner - Interventional Cardiology 3678478567 Reassigns benefits to 2 organizations
I20260513004186 NH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3678478567 Reassigns benefits to 1 organization
I20260609000686 WA Practitioner - Cardiovascular Disease (Cardiology) 3678478567 Reassigns benefits to 1 organization
I20260610001203 OR Practitioner - Cardiovascular Disease (Cardiology) 3678478567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1919 NW Lovejoy St
Portland, OR 97209-1503

2000 Health Park Dr
Brentwood, TN 37027-4692

2850 NW 31St Ave
Portland, OR 97210-1720

Hospital & facility affiliations

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30202IAMDPediatric Dentist
2002007279MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Oct 23, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Oct 23, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Medical Group CurrentSince Nov 1, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Sep 25, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Sep 25, 2023 Accepting new patients
McLaren Medical Group Interventional Cardiology CurrentSince Nov 1, 2023 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Interventional Cardiology CurrentSince Mar 1, 2015 Accepting new patients
Advanced Cardiovascular Care PC PastSince Jan 21, 2002 Accepting new patients
Holmes & Munyon, P.C. PastSince Aug 7, 2004 Accepting new patients
Diagnostic Radiology PC PastSince Aug 5, 2021 Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

203 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 525-1600

Interoperability endpoints

  • Direct secure messaging: ddunker146909@mymichiganhealth.midirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1407809544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 SPINNAKER PT",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641526109",
            "telephone_number": "816-520-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 SPINNAKER PT",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641526109",
            "telephone_number": "816-520-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Connable Ave",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702212",
            "country_code": "US",
            "telephone_number": "231-487-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Osborn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831884",
            "country_code": "US",
            "telephone_number": "906-635-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNKER",
        "first_name": "DANIEL",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2002007279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203814306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

Verify at the official NPI Registry.