Active NPI
David Kimlin Dunscombe, DDS
- Dentist
- La Pine, OR
National Provider Identifier
1477613313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5034
- Practice address
- 16440 3Rd Street
La Pine, OR 97739 - Phone
- (541) 536-2175
- Fax
- (541) 536-1206
- NPI assigned
- Dec 11, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5034 | OR | Primary |
Addresses
Primary practice location
16440 3Rd Street
La Pine, OR 97739
Mailing address
PO Box 1616
16440 3Rd Street
La Pine, OR 97739
Phone (541) 536-2175
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: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 21, 2017 through Dec 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5034 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477613313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1616",
"address_2": "16440 3RD STREET",
"city": "LA PINE",
"state": "OR",
"postal_code": "97739",
"telephone_number": "541-536-2175",
"fax_number": "541-536-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16440 3RD STREET",
"city": "LA PINE",
"state": "OR",
"postal_code": "97739",
"telephone_number": "541-536-2175",
"fax_number": "541-536-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNSCOMBE",
"first_name": "DAVID",
"middle_name": "KIMLIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "5034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Pine, OR
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.