Active NPI
Robert North Dunn, MD
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Antonio, TX
National Provider Identifier
1801991492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- N5025
- Practice address
- 9522 Huebner Rd
San Antonio, TX 78240-1548 - Phone
- (210) 478-5390
- NPI assigned
- Sep 14, 2006
- Last updated
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | N5025 | TX | Primary |
| Surgery Physician | 208600000X | N5025 | TX | |
| Surgical Critical Care Physician | 2086S0102X | N5025 | TX |
Addresses
Primary practice location
9522 Huebner Rd
San Antonio, TX 78240-1548
Mailing address
9522 Huebner Rd
San Antonio, TX 78240-1548
Phone (210) 861-4551
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012801 | Medicaid | MS | |
| 100050270A | Medicaid | OK | |
| 114348001 | Medicaid | AR | |
| 281744701 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N5025 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| Fort Smith Hma, LLC | Past | Accepting new patients | |
| St Edward Medical Services, Inc. | Past | Accepting new patients | |
| Webster Health Services, Inc. | Past | Accepting new patients | |
| Sparks Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Sparks Regional Medical Center
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1578555736
-
- Skilled Nursing Facility
- Fort Smith, AR
- NPI 1992916308
-
dba Van Buren Medical Clinic
- Primary Care Clinic/Center
- Van Buren, AR
- NPI 1588878466
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
-
dba Eupora Primary Care Clinic
- Family Medicine Physician
- Eupora, MS
- NPI 1821881913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1801991492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9522 HUEBNER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401548",
"telephone_number": "210-861-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9522 HUEBNER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401548",
"telephone_number": "210-478-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "ROBERT",
"middle_name": "NORTH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "N5025",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N5025",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "N5025",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012801",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100050270A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114348001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281744701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.