Individual provider Active NPI

Dustin Michael Dunham, D.C.

  • Chiropractor
  • North Richland Hills, TX
National Provider Identifier
1639206865
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10263 Issued in TX
Practice address
5424 Rufe Snow Dr
#101
North Richland Hills, TX 76180-6684
Phone
(817) 656-4330
Fax
(817) 498-4457
NPI assigned
Feb 27, 2007
Last updated
Aug 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10263 TX Primary

Addresses

Primary practice location

5424 Rufe Snow Dr
#101
North Richland Hills, TX 76180-6684

Mailing address

5424 Rufe Snow Dr
#101
North Richland Hills, TX 76180-6684
Phone (817) 656-4330

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Chiropractic Series LLC Chiropractor PastSince Jan 19, 2014 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1639206865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR",
            "address_2": "#101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806684",
            "telephone_number": "817-656-4330",
            "fax_number": "817-498-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR",
            "address_2": "#101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806684",
            "telephone_number": "817-656-4330",
            "fax_number": "817-498-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "DUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.