DUNKIRK FAMILY PRACTICE PA
NPI 1396938460
Family Medicine in Owings, MD

Active since August 22, 2007
2025 CHANEYVILLE RD, OWINGS, MD 20736(410) 286-3865(410) 286-8085 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Jul 11, 2025, Dec 20, 2024 and 4 more (7 updates tracked since 2019).

About Dunkirk Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUNKIRK FAMILY PRACTICE PA (NPI 1396938460) is a healthcare organization registered as a family medicine in Owings, Maryland and active in the NPI registry since August 2007. The organization lists Angel Wilde, Office/billing Manager, as its authorized official.

NPPES Registry Identity

NPI1396938460
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUNKIRK FAMILY PRACTICE PA
Location Address2025 CHANEYVILLE RDOwings, MD 20736-4352
Mailing Address2025 Chaneyville Rd Ste 200Owings, MD 20736-4300 · (410) 286-3865 · Fax (410) 286-8085
Fax(410) 286-8085
Organization SubpartNo
Authorized OfficialAngel WildeOffice/billing Manager · (410) 286-3865
Enumeration DateAugust 22, 2007
Last NPPES UpdateMay 14, 20267 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1396938460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2025 CHANEYVILLE RD, Owings, MD 20736

Other Identifiers 1

Medicaid583810000MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dunkirk Family Practice Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dunkirk Family Practice PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1629890009
2025 CHANEYVILLE RD STE 200
Owings, MD 20736
(410) 286-3865
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508946039
2025 CHANEYVILLE RD STE 200
Owings, MD 20736
(410) 286-3865
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366772956
2025 CHANEYVILLE RD STE 200
Owings, MD 20736
(410) 286-3865
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952955577
2025 CHANEYVILLE RD STE 200
Owings, MD 20736
(410) 286-3865
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518051804
2025 CHANEYVILLE RD STE 200
Owings, MD 20736
(410) 286-3865
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0932354

Dunkirk Family Practice PA · Owings, MD
Expired · Oct 12, 2026
CLIA Number21D0932354
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorCatherine I. Brophy MD
Laboratory Phone(410) 286-3865
Laboratory LocationDunkirk Family Practice PA2025 Chaneyville Rd Suite 200, Owings, MD 20736
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dunkirk Family Practice PA's NPI number?

The NPI number for Dunkirk Family Practice PA is 1396938460. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Dunkirk Family Practice PA located?

Dunkirk Family Practice PA is located at 2025 Chaneyville Rd, Owings, MD 20736. The listed phone number is (410) 286-3865.

What is Dunkirk Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dunkirk Family Practice PA enrolled in Medicare?

Yes. Dunkirk Family Practice PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dunkirk Family Practice PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Dunkirk Family Practice PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dunkirk Family Practice PA was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.