Individual provider Active NPI

Horace Anthony Gunn, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1730332156
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008421 Issued in GA
Practice address
438 Deckner Ave SW
Atlanta, GA 30310-4406
Phone
(404) 245-3515
Fax
(404) 753-0843
NPI assigned
Oct 29, 2008
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN008421 GA Primary

Addresses

Primary practice location

438 Deckner Ave SW
Atlanta, GA 30310-4406

Mailing address

438 Deckner Ave SW
Atlanta, GA 30310-4406
Phone (404) 755-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160520001148 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123317799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN008421GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1730332156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 DECKNER AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104406",
            "telephone_number": "404-755-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 DECKNER AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104406",
            "telephone_number": "404-245-3515",
            "fax_number": "404-753-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "HORACE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.