Individual provider Active NPI

Brooks Anthony Hunsaker, DMD

  • Dentist
  • Cave Junction, OR
National Provider Identifier
1639857063
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11841 Issued in OR
Practice address
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone
(541) 592-4111
Fax
(541) 471-1439
NPI assigned
Jul 6, 2023
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11841 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20231211003512 OR Practitioner - Dentist 0143679571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11841ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Siskiyou Community Health Center, Inc Current Accepting new patients
Siskiyou Community Health Center, Inc. CurrentSince Oct 2, 2023 Accepting new patients

Locations

1701 NW Hawthorne Ave
Grants Pass, OR 97526
Phone (541) 471-3455

Organizations & group practices 2

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1639857063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NW HAWTHORNE AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261051",
            "telephone_number": "541-472-4777",
            "fax_number": "541-471-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25647 REDWOOD HWY",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "975239332",
            "telephone_number": "541-592-4111",
            "fax_number": "541-471-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 NW Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261051",
            "country_code": "US",
            "telephone_number": "541-479-6393",
            "fax_number": "541-471-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "BROOKS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Junction, OR

Sources for this page

Verify at the official NPI Registry.