Active NPI
Tiffani Brooke Dunn, D.M.D.
- Dentist
- League City, TX
National Provider Identifier
1437388501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26440
- Practice address
- 2925 Gulf Fwy S
League City, TX 77573-6768 - Phone
- (281) 337-0313
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT2379 | HI | |
| Dentist | 122300000X | 26440 | TX | Primary |
Addresses
Primary practice location
2925 Gulf Fwy S
League City, TX 77573-6768
Mailing address
1218 SW Military Dr
San Antonio, TX 78221-1535
Phone (210) 928-2814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602001477 | HI | Order and Referring Only - Other (Non-Physician) | 1456672518 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2379 | HI | MD | Dentist |
| 26440 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1437388501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 SW MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211535",
"telephone_number": "210-928-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 GULF FWY S",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736768",
"telephone_number": "281-337-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "TIFFANI",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT2379",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "26440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.