Individual provider Active NPI

Jack H Dunn, M.D.

  • Neurological Surgery Physician
  • Tucson, AZ
National Provider Identifier
1437139037
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
11946 Issued in AZ
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201313MedicaidAZ

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.

Verify at the official NPI Registry.