Jeffrey Sheridan Dunham, M.D

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G53524 Issued in CA

Practice address

1751 N Sunrise Way
Suite E
Palm Springs, CA 92262-3408

Phone

(760) 327-2277

Fax

(760) 325-4031

NPI assigned

Feb 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 6, 2016 through Jan 6, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Biofit Medical Corporation

  • Medical Specialty Clinic/Center
  • Palm Springs, CA
  • NPI 1528273695
  NPD (past) Authorized official
• John D. Stansell, M.D., Inc

  • Primary Care Clinic/Center
  • Palm Springs, CA
  • NPI 1700811304
  NPD (past)

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1992044374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 N SUNRISE WAY",
            "address_2": "SUITE E",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623408",
            "telephone_number": "760-327-2277",
            "fax_number": "760-325-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 N SUNRISE WAY",
            "address_2": "SUITE E",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623408",
            "telephone_number": "760-327-2277",
            "fax_number": "760-325-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "JEFFREY",
        "middle_name": "SHERIDAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G53524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dual Diagnosis Management, LLC Dba Palmsprings Serenity Retreat
• Reina Duarte
• Candice Nicole Dubose, MD
• Kara Duncan
• Troy Andrew Duncan
• Laura Ann Dunn, PHARMD
• Paige Dunn
• Anthony Duong, ED.S
• Kim Duong, PHARMD
• Dva Renal Healthcare Inc

• Public Health & General Preventive Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.