Individual provider Active NPI

Cary Blake Unternaher, DDS

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1558557199
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28498 Issued in CA
Practice address
655 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7522
Phone
(209) 667-6654
Fax
(209) 667-0352
NPI assigned
Sep 18, 2007
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28498 CA Primary

Addresses

Primary practice location

655 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7522

Mailing address

655 E Hawkeye Ave
Suite 1
Turlock, CA 95380-7522
Phone (209) 667-6654

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 5, 2016 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1558557199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E HAWKEYE AVE",
            "address_2": "SUITE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807522",
            "telephone_number": "209-667-6654",
            "fax_number": "209-667-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E HAWKEYE AVE",
            "address_2": "SUITE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807522",
            "telephone_number": "209-667-6654",
            "fax_number": "209-667-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERNAHER",
        "first_name": "CARY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.