Organization Active NPI

Chunn Enterprises Inc.

  • Family Medicine Physician
  • Mason, OH
National Provider Identifier
1457723694
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35076823 Issued in OH
Legal business name
CHUNN ENTERPRISES INC.
Practice address
6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236
Phone
(513) 701-3145
Fax
(513) 701-3146
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Michael A Chunn, M.D.
Title
President
Phone
(513) 701-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35076823 OH Primary

Addresses

Primary practice location

6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236

Mailing address

6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236
Phone (513) 701-3145

Other names 1

  • Chunn Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1073297Chunn Family Medicine6860 Tylersville Road Suite 12, Mason, OH 45040Provider-performed microscopyMar 6, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1457723694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 TYLERSVILLE RD",
            "address_2": "SUITE 12",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401236",
            "telephone_number": "513-701-3145",
            "fax_number": "513-701-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 TYLERSVILLE RD",
            "address_2": "SUITE 12",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401236",
            "telephone_number": "513-701-3145",
            "fax_number": "513-701-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNN ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "CHUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-701-3145",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chunn Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chunn Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.