Ted Alan Dunn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12931 Issued in SC

Practice address

3510 N Highway 17 Ste 320
Mt Pleasant, SC 29466-8232

Phone

(843) 971-3361

NPI assigned

Apr 14, 2006

Last updated

May 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners General Surgery

  • Surgery Physician
  • Charleston, SC
  • NPI 1124431606
  Medicare reassignment NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners Primary Care

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1063655363
  NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners Charleston OB/GYN

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1811857352
  NPD
• Lowcountry Medical Associates

  dba Mt Pleasant Urgent & Family Care

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1689624447
  NPD (past)
• Lowcountry Medical Associates

  dba Moncks Corner Primary Care

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1790735975
  NPD (past)
• Roper Saint Francis Physicians Network

  dba Sewee Internal Medicine

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1154695617
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1578527768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N HIGHWAY 17 STE 320",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668232",
            "telephone_number": "843-971-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "TED",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129319",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Lewis Dulle, CRNA
• Madelyn Marie Dullea, PT, DPT
• Mary Elizabeth Dunlap, SLP
• Randi Dunlap, RDH
• Lisa Carolyn Dunlevy, M.AC, L.AC., DIPL. A
• Michael Duong, PHARMD
• Kati McDonald Dupree, HAS
• Loren Elizabeth Dupuis, PA-C
• Robert Rees Durant IV, MD
• Dawn Durante, PT

• Family Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.