Active NPI
Christopher E. Dunham, PA-C
- Physician Assistant
- Tucson, AZ
National Provider Identifier
1508989732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA052050
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3502 | AZ | MD | Clinical Psychologist |
| MA052050 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Arthritis & Rheumatology Associates P C | Current | Accepting new patients | |
| Arizona Arthritis and Rheumatology Associates | Current | Accepting new patients | |
| Mid-Hudson Family Health Institute | Past | Accepting new patients | |
| Arizona Medical Services, PC | Past | 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.
-
- Rheumatology Physician
- Phoenix, AZ
- NPI 1366489254
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Rheumatology Physician
- Glendale, AZ
- NPI 1447730023
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1679583306
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1326093642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.