Individual provider Active NPI

Michael Lynn Dunn, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1922155688
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28808 Issued in CO
Practice address
850 E Harvard Ave Ste 265
Denver, CO 80210-5075
Phone
(303) 986-2274
Fax
(303) 986-2205
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28808 CO Primary

Addresses

Primary practice location

850 E Harvard Ave Ste 265
Denver, CO 80210-5075

Mailing address

850 E Harvard Ave Ste 265
Denver, CO 80210-5075
Phone (303) 986-2274

Other identifiers 1

IdentifierTypeStateIssuer
01288083MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000971 CO Practitioner - Family Practice 1557262037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28808COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Family Practice PC Family Medicine CurrentSince Jun 1, 1996 Accepting new patients

Locations

850 E Harvard Ave
Ste 265
Denver, CO 80210
Phone (303) 722-2724

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1922155688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE STE 265",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105075",
            "telephone_number": "303-986-2274",
            "fax_number": "303-986-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE STE 265",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105075",
            "telephone_number": "303-986-2274",
            "fax_number": "303-986-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01288083",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.