Active NPI
Kenneth D Dunlap Jr., DPM
- Podiatrist
- York, PA
National Provider Identifier
1740281260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003723L
- Practice address
- 500 Greenbriar Rd
York, PA 17404-1335 - Phone
- (717) 718-5511
- Fax
- (717) 718-0660
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003723L | PA | Primary |
Addresses
Primary practice location
500 Greenbriar Rd
York, PA 17404-1335
Mailing address
500 Greenbriar Rd
York, PA 17404-1335
Phone (717) 718-5511
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427240 | Other | PA | HIGHMARK BLUE SHIELD |
| 747106VKJ | Other | PA | MEDICARE PTAN |
| 001410291 | Medicaid | PA | |
| 02092701 | Other | PA | CAPITAL BLUE CROSS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1740281260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GREENBRIAR RD",
"city": "YORK",
"state": "PA",
"postal_code": "174041335",
"telephone_number": "717-718-5511",
"fax_number": "717-718-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GREENBRIAR RD",
"city": "YORK",
"state": "PA",
"postal_code": "174041335",
"telephone_number": "717-718-5511",
"fax_number": "717-718-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "KENNETH",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003723L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1427240",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "747106VKJ",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001410291",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02092701",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.