Individual provider Active NPI

Fabian Ameil Dunn, DDS

  • General Practice Dentistry
  • Danbury, CT
National Provider Identifier
1881040954
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11838 Issued in CT
Practice address
2 Glen Hill Rd
Danbury, CT 06811-4906
Phone
(203) 797-9392
NPI assigned
May 9, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11838 CT Primary
General Practice Dentistry 1223G0001X 059360 NY

Addresses

Primary practice location

2 Glen Hill Rd
Danbury, CT 06811-4906

Mailing address

2 Glen Hill Rd
Danbury, CT 06811-4906
Phone (203) 797-9392

Other practice location 1

200 Hamilton Ave
White Plains, NY 10601-1876
Phone (914) 949-6800

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

LicenseStateTypeSpecialty
11838CTMDGeneral Practice Dentistry
059360NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881040954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GLEN HILL RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114906",
            "telephone_number": "203-797-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GLEN HILL RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114906",
            "telephone_number": "203-797-9392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106011876",
            "country_code": "US",
            "telephone_number": "914-949-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "FABIAN",
        "middle_name": "AMEIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11838",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.