Organization Active NPI

Kenneth D Dunlap Jr DPM PC

  • Foot Surgery Podiatrist
  • Dover, PA
National Provider Identifier
1629132253
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC003723L Issued in PA
Legal business name
KENNETH D DUNLAP JR DPM PC
Practice address
3731 Carlisle Rd
Dover, PA 17315-4415
Phone
(717) 292-1455
Fax
(717) 292-2593
NPI assigned
Dec 20, 2006
Last updated
Jun 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Kenneth D Dunlap Jr., DPM
Title
President
Phone
(717) 292-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC003723L PA Primary

Addresses

Primary practice location

3731 Carlisle Rd
Dover, PA 17315-4415

Mailing address

3731 Carlisle Rd
Dover, PA 17315-4415
Phone (717) 292-1455

Other identifiers 2

IdentifierTypeStateIssuer
001935930MedicaidPA
001410291MedicaidPA

National Provider Directory

National Provider Directory

Locations

3731 Carlisle Rd
Dover, PA 17315
Phone (717) 292-1455

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1629132253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 CARLISLE RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173154415",
            "telephone_number": "717-292-1455",
            "fax_number": "717-292-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 CARLISLE RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173154415",
            "telephone_number": "717-292-1455",
            "fax_number": "717-292-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D DUNLAP JR DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-292-1455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC003723L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001935930",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001410291",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.