Jared Brent Bunker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58435 Issued in CA

Practice address

10175 Rancho Carmel Dr
Suite 126
San Diego, CA 92128-3675

Phone

(858) 675-9055

Fax

(858) 675-9040

NPI assigned

Jul 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Jared Bunker DMD Apc

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1215355847
  NPD (past) Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1851689913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 RANCHO CARMEL DR",
            "address_2": "SUITE 126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283675",
            "telephone_number": "858-675-9055",
            "fax_number": "858-675-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 RANCHO CARMEL DR",
            "address_2": "SUITE 126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283675",
            "telephone_number": "858-675-9055",
            "fax_number": "858-675-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKER",
        "first_name": "JARED",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warner P Bundens, M.D.
• Kayla Bunderson
• Grace Bundy
• Kathleen Carmela Bundy, R.D.
• Kelsi Maree Bungert
• Sierra Bunker
• Esperanza Bunn
• John Bunnell
• Scott Patrick Bunner, M.D.
• Abigail Bunosky, PT

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.