Active NPI
Gunning Dermatology Center
- Dermatology Physician
- Chevy Chase, MD
National Provider Identifier
1508092149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0062385
- Legal business name
- GUNNING DERMATOLOGY CENTER
- Practice address
- 5530 Wisconsin Ave
Chevy Chase, MD 20815-4404 - Phone
- (301) 986-1880
- NPI assigned
- Jun 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean Thomas Gunning, MD
- Title
- President
- Phone
- (240) 498-7356
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0062385 | MD | Primary |
| Clinic/Center | 261Q00000X | DOO62385 | MD |
Addresses
Primary practice location
5530 Wisconsin Ave
Chevy Chase, MD 20815-4404
Mailing address
12903 Innisbrook Dr
Beltsville, MD 20705-5104
Phone (301) 946-2369
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244592000000",
"number": "1508092149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12903 INNISBROOK DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207055104",
"telephone_number": "301-946-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154404",
"telephone_number": "301-986-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUNNING DERMATOLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A",
"authorized_official_last_name": "GUNNING",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-498-7356",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "MD",
"license": "D0062385",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MD",
"license": "DOO62385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.