Individual provider Active NPI

Daniel Allan Dunbar, D.M.D., M.S.

  • Endodontics
  • Saint Louis, MO
National Provider Identifier
1578723292
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
15347 Issued in MO
Practice address
9225 Manchester Rd
Ste. 201
Saint Louis, MO 63144-2640
Phone
(314) 961-9225
Fax
(314) 961-9339
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 15347 MO Primary

Addresses

Primary practice location

9225 Manchester Rd
Ste. 201
Saint Louis, MO 63144-2640

Mailing address

9225 Manchester Road
Ste. 201
St. Louis, MO 63144
Phone (314) 961-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15347MOMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel a. Dunbar, D.M.D., M.S., P.C. Endodontics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1578723292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 MANCHESTER ROAD",
            "address_2": "STE. 201",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-961-9225",
            "fax_number": "314-961-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 MANCHESTER RD",
            "address_2": "STE. 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442640",
            "telephone_number": "314-961-9225",
            "fax_number": "314-961-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "DANIEL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "15347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.