Brooks Anthony Hunsaker, DMD
Individual provider Active NPI Dentist · Cave Junction, OR
NPI 1639857063 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1639857063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D11841 (OR)
- Practice address
- 25647 Redwood Hwy
Cave Junction, OR 97523-9332 - Phone
- (541) 592-4111
- Fax
- (541) 471-1439
- NPI assigned
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231211003512 | OR | Practitioner - Dentist | 0143679571 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11841 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Community Health Center, Inc. | Current |
Accepting new patients | |
| Siskiyou Community Health Center, Inc | Current | Accepting new patients |
Locations
1701 NW Hawthorne Ave
Grants Pass, OR 97526
Phone (541) 471-3455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11841 | OR | Yes |
Addresses
Primary practice location
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Mailing address
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 472-4777
Other practice location 1
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 479-6393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500822523 | Medicaid | OR |
Other providers in Cave Junction, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.