Active NPI
Gary Allen Dunlap, DO
- General Practice Physician
- Dayton, OH
National Provider Identifier
1467564237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2045
- Practice address
- 2640 Saint Charles Ave
Dayton, OH 45410-3147 - Phone
- (937) 253-6741
- Fax
- (937) 253-2431
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2045 | OH | Primary |
Addresses
Primary practice location
2640 Saint Charles Ave
Dayton, OH 45410-3147
Mailing address
2640 Saint Charles Ave
Dayton, OH 45410-3147
Phone (937) 253-6741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0217072 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 28, 2015 through Jul 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2045 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467564237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 SAINT CHARLES AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454103147",
"telephone_number": "937-253-6741",
"fax_number": "937-253-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 SAINT CHARLES AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454103147",
"telephone_number": "937-253-6741",
"fax_number": "937-253-2431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "GARY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "2045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0217072",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.