Douglas Brian Hunt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4913 Issued in AZ

Practice address

22711 S. Ellsworth Road Suite #101
22711 S. Ellsworth Road Suite #101
Queen Creek, AZ 85142

Phone

(480) 219-8559

Fax

(480) 219-8611

NPI assigned

Aug 22, 2007

Last updated

Feb 24, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1629261789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22711 S. ELLSWORTH ROAD SUITE #101",
            "address_2": "22711 S. ELLSWORTH ROAD SUITE #101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-219-8559",
            "fax_number": "480-219-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 S. ELLSWORTH ROAD SUITE #101",
            "address_2": "22711 S. ELLSWORTH ROAD SUITE #101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-219-8559",
            "fax_number": "480-219-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Hostetler, RD
• Milan Miloslav Hrkal III, M.D.
• Katrina Marie Hubbard, AGNP-C
• Orlando Hubbell
• Jennifer Huls, APRN
• Stana Hunt, MAED
• Joshua Huynh, OD
• Okechukwu Oswald Ikedilo
• Imani Mental Health Services LLC
• In Motion Pediatric Physical Therapy LLC

• Dentist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.