Active NPI
Roger D Nunn, MD
- Ophthalmology Physician
- Denton, TX
National Provider Identifier
1891794285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D9253
- Practice address
- 525 Bryan St
A
Denton, TX 76201-2795 - Phone
- (940) 382-1511
- NPI assigned
- Jul 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D9253 | TX | Primary |
Addresses
Primary practice location
525 Bryan St
A
Denton, TX 76201-2795
Mailing address
525 Bryan St
A
Denton, TX 76201-2795
Phone (940) 382-1511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AJ099 | Other | TX | BLUE CROSS BLUE SHIELD |
| P000M8804 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1891794285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BRYAN ST",
"address_2": "A",
"city": "DENTON",
"state": "TX",
"postal_code": "762012795",
"telephone_number": "940-382-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BRYAN ST",
"address_2": "A",
"city": "DENTON",
"state": "TX",
"postal_code": "762012795",
"telephone_number": "940-382-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "ROGER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "D9253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8AJ099",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000M8804",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.