Active NPI
William Jackson Dunn, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1952496465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15142
- Practice address
- 238 N Loop 1604 W Ste 201
San Antonio, TX 78232-1455 - Phone
- (210) 465-7075
- Fax
- (210) 855-6933
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15142 | TX | Primary |
Addresses
Primary practice location
238 N Loop 1604 W Ste 201
San Antonio, TX 78232-1455
Mailing address
81 DS/SGD
606 Fisher Street
Keesler AFB, MS 39534
Phone (228) 377-3003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 832626855 | Other | TX | TAX ID |
| 1952496465 | Other | TX | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15142 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1952496465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 DS/SGD",
"address_2": "606 FISHER STREET",
"city": "KEESLER AFB",
"state": "MS",
"postal_code": "39534",
"telephone_number": "228-377-3003",
"fax_number": "228-377-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 N LOOP 1604 W STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321455",
"telephone_number": "210-465-7075",
"fax_number": "210-855-6933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "WILLIAM",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "832626855",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1952496465",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.