Active NPI
Steven K Dunlap, M.D.
- Internal Medicine Physician
- Boerne, TX
National Provider Identifier
1881670677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N2479
- Practice address
- 122 Commerce
Boerne, TX 78006-2073 - Phone
- (830) 249-0130
- Fax
- (830) 249-0124
- NPI assigned
- Dec 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036075840 | IL | |
| Internal Medicine Physician | 207R00000X | N2479 | TX | Primary |
Addresses
Primary practice location
122 Commerce
Boerne, TX 78006-2073
Mailing address
PO Box 606
122 Commerce Avenue
Boerne, TX 78006
Phone (830) 249-0130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036075840 | Medicaid | IL | |
| 5715384 | Other | IL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 036075840 | IL | MD | Internal Medicine Physician |
| N2479 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1881670677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 606",
"address_2": "122 COMMERCE AVENUE",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-249-0130",
"fax_number": "830-249-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 COMMERCE",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062073",
"telephone_number": "830-249-0130",
"fax_number": "830-249-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "STEVEN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036075840",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N2479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036075840",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5715384",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.