Individual provider Active NPI

Sean Claude Gunnels, DMD

  • Pediatric Dentistry
  • Vestavia, AL
National Provider Identifier
1992153167
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D.0006730 Issued in AL
Practice address
4213 Dolly Ridge Rd
Vestavia, AL 35243-5703
Phone
(205) 490-6850
Fax
(205) 449-0292
NPI assigned
May 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3440 CO
Pediatric Dentistry 1223P0221X D.0006730 AL Primary

Addresses

Primary practice location

4213 Dolly Ridge Rd
Vestavia, AL 35243-5703

Mailing address

4213 Dolly Ridge Rd
Vestavia, AL 35243-5703
Phone (205) 490-6850

Other practice location 1

5564 Grove Blvd Ste B
Hoover, AL 35226-4601
Phone (205) 795-3440

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

LicenseStateTypeSpecialty
D.0006730ALMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Smiles Pediatric Dentistry, LLC Pediatric Dentistry Current Accepting new patients

Locations

4213 Dolly Ridge Rd
Vestavia, AL 35243
Phone (205) 490-6850

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": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1992153167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435703",
            "telephone_number": "205-490-6850",
            "fax_number": "205-449-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435703",
            "telephone_number": "205-490-6850",
            "fax_number": "205-449-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5564 Grove Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352264601",
            "country_code": "US",
            "telephone_number": "205-795-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNNELS",
        "first_name": "SEAN",
        "middle_name": "CLAUDE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "3440",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "D.0006730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.