Active NPI
Jack H Dunn, M.D.
- Neurological Surgery Physician
- Tucson, AZ
National Provider Identifier
1437139037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 11946
- Practice address
- 1501 N. Campbell Avenue
Department of Surgery Room 4310
Tucson, AZ 85724-5066 - Phone
- (520) 250-1140
- Fax
- (520) 529-3629
- NPI assigned
- Jan 19, 2006
- Last updated
- Apr 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 11946 | AZ | Primary |
Addresses
Primary practice location
1501 N. Campbell Avenue
Department of Surgery Room 4310
Tucson, AZ 85724-5066
Mailing address
P.O. Box 37020
Tucson, AZ 85740-7020
Phone (520) 299-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201313 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1437139037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 37020",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857407020",
"telephone_number": "520-299-9660",
"fax_number": "520-529-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N. CAMPBELL AVENUE",
"address_2": "DEPARTMENT OF SURGERY ROOM 4310",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857245066",
"telephone_number": "520-250-1140",
"fax_number": "520-529-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "JACK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "11946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201313",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.