Dwayne Dunlap, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00368 Issued in TX

Practice address

6026 Yorktown Meadow LN
Houston, TX 77084-6818

Phone

(248) 346-2748

Fax

(713) 219-9858

NPI assigned

Jul 13, 2010

Last updated

Jul 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dwayne Dunlap PLLC

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1245632108
  NPD (past) Authorized official

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1801108329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 YORKTOWN MEADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846818",
            "telephone_number": "248-346-2748",
            "fax_number": "713-219-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 YORKTOWN MEADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846818",
            "telephone_number": "248-346-2748",
            "fax_number": "713-219-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "DWAYNE",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00368",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunhuang Periodontics & Dental Implants, PA
• Dunia Transportation
• Martha Jane Dunkelberger, PH.D.
• Ashlain Dunkin
• Bailey Marie Dunlap, PA-C
• Francis E Dunlap
• Royce Anthony Dunlap, FNP-C
• Neil Christopher Dunleavy, M.D.
• Catherine Elizabeth Dunlop, MD
• Colleen Michele Dunlop Jr., PA-C

• Surgical Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.