Jacob Dunkerson, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008869 Issued in MI

Practice address

3460 Hermansau Dr
Saginaw, MI 48603-2520

Phone

(810) 869-1365

NPI assigned

Jun 24, 2014

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1669887097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 HERMANSAU DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 HERMANSAU DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032520",
            "telephone_number": "810-869-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKERSON",
        "first_name": "JACOB",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dumas, M.D.
• Daniel Jon Dunaske, DO
• Danielle C Duncan, M.D.
• Parker Duncan, DDS
• Frederick C Dunham, MD
• Eddie Dunn Jr.
• Emily Sarah Heather Dunn
• Mya Magica Dunn
• Molly Duran
• Melissa Ann Duron, FNP

• Occupational Therapist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.