Active NPI
Thomas Richard Gunnell, DDS
- Prosthodontics
- El Paso, TX
National Provider Identifier
1851379838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 6435
- Practice address
- 5005 N Piedras St
BLDG 128 Chaffee Road, Fort Bliss
El Paso, TX 79920-5002 - Phone
- (915) 742-5935
- Fax
- (915) 742-7462
- NPI assigned
- Jan 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6435 | NE | |
| Prosthodontics | 1223P0700X | 6435 | NE | Primary |
Addresses
Primary practice location
5005 N Piedras St
BLDG 128 Chaffee Road, Fort Bliss
El Paso, TX 79920-5002
Mailing address
Chaffee Road BLDG 128
USA Dentac Fort Bliss
El Paso, TX 79920-5001
Phone (915) 742-5935
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6435 | NE | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1851379838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHAFFEE ROAD BLDG 128",
"address_2": "USA DENTAC FORT BLISS",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-5935",
"fax_number": "915-742-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "BLDG 128 CHAFFEE ROAD, FORT BLISS",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205002",
"telephone_number": "915-742-5935",
"fax_number": "915-742-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNELL",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6435",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NE",
"license": "6435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.