James W. Gunelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6399 Issued in WI

Practice address

120 W 4TH Ave
Stanley, WI 54768-1002

Phone

(715) 644-3601

NPI assigned

Jul 8, 2009

Last updated

Jul 26, 2016By 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

Enrolled in WI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stanley Hometown Dentistry

  • Dental Clinic/Center
  • Stanley, WI
  • NPI 1861865644
  NPD (past) Authorized official

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1861621161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 4TH AVE",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681002",
            "telephone_number": "715-644-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 4TH AVE",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681002",
            "telephone_number": "715-644-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNELSON",
        "first_name": "JAMES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12758",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Dingeldein
• Jesse Frey, PSYD
• Barbara Fritz
• Daniel J Gilles, PA
• Lindsey Christine Graff, NP
• Achal Gupta, M.D.
• Gregory Robert Haas, D.C.
• Jennifer Ann Haas, D.C., MSHS
• Jennifer L Haas, LPN
• Erin Colleen Harrington, APNP

• General Practice Dentistry in Stanley, WI
• Providers in Stanley, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.