Kevin David Dunlavey, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS036294 Issued in PA

Practice address

5125 Zuck Rd
Erie, PA 16506-4941

Phone

(814) 455-2158

Fax

(814) 480-8127

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1609933654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064941",
            "telephone_number": "814-455-2158",
            "fax_number": "814-480-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064941",
            "telephone_number": "814-455-2158",
            "fax_number": "814-480-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAVEY",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS036294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prashant Obed Reddy Dundi, M.D
• Cassandra Dundon
• Christopher Dundon, LPC
• Angela Dunkle
• Letesha Dunlap
• Amy Louise Dunn
• Geoffrey Parker Dunn, MD
• John Phillip Dupaix, M.D.
• Andres Bryant Duran, M.D.
• Amy Durie, MSSW, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Erie, PA
• Providers in Erie, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.