Individual provider Active NPI

Christopher E. Dunham, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1508989732
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052050 Issued in PA
Practice address
4175 S. Alamo Ave BLDG 400
355TH Medical Group-Davis Monthan AFB
Tucson, AZ 85707
Phone
(520) 228-2822
NPI assigned
Apr 10, 2007
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052050 PA Primary

Addresses

Primary practice location

4175 S. Alamo Ave BLDG 400
355TH Medical Group-Davis Monthan AFB
Tucson, AZ 85707

Mailing address

4799 E American Beauty Dr
Tucson, AZ 85756-5262
Phone (520) 861-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000536 AZ Practitioner - Physician Assistant 9638163421 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3502AZMDClinical Psychologist
MA052050PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis & Rheumatology Associates P C CurrentSince Jan 30, 2023 Accepting new patients
Arizona Arthritis and Rheumatology Associates CurrentSince Jan 30, 2023 Accepting new patients
Mid-Hudson Family Health Institute Past Accepting new patients
Arizona Medical Services, PC PastSince Apr 28, 2005 Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients

Locations

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1508989732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 E AMERICAN BEAUTY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565262",
            "telephone_number": "520-861-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S. ALAMO AVE BLDG 400",
            "address_2": "355TH MEDICAL GROUP-DAVIS MONTHAN AFB",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.