Charles Michael Dunkerson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3350 Issued in TN

Practice address

409 N Poplar St
Paris, TN 38242-3435

Phone

(731) 642-0155

Fax

(731) 642-0368

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447335591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N POPLAR ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382423435",
            "telephone_number": "731-642-0155",
            "fax_number": "731-642-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N POPLAR ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382423435",
            "telephone_number": "731-642-0155",
            "fax_number": "731-642-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKERSON",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Dotson, FNP
• Katie Bri-Anne Drummond, PHARMD
• Ramesh Dubey, C.P.O
• Richard D Duggin
• Stephanie C. Dunagan, M.D.
• Dyersburg Family Walk-in Clinic (Neighborhood Walk-In Clinic)
• Eagle Creek Emergency Group, PC
• East Wood Clinic PLLC
• Macy East, MS, CCC-SLP
• Cynthia A Eblen, APN, FNP-BC

• General Practice Dentistry in Paris, TN
• Providers in Paris, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.