Kristen Zung

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106175 Issued in CA

Practice address

90 E Taylor St
San Jose, CA 95112-5002

Phone

(408) 294-9944

NPI assigned

Jun 29, 2021

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of the Pacific Dugoni School of Dentistry, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kzung692111@hisp.ehr.sutterhealth.org

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.

• Haven Mobile Dentistry, Inc.

  • Dental Clinic/Center
  • Saratoga, CA
  • NPI 1598632234
  NPD Authorized official
• Alex H. Mendoza DDS Inc

  • Dentist
  • San Jose, CA
  • NPI 1376219949
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1003486473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14657 FIELDSTONE DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E TAYLOR ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125002",
            "telephone_number": "408-294-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Primrose Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104096",
            "country_code": "US",
            "telephone_number": "650-685-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUNG",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Zuchowski, DC
• Paul Jacob Zuchowski, DC
• Courtney Zucker, ASW
• Helen Zukin-O'Callaghan
• Mark Douglas Zukunft, M.D.
• Jennie Zuniga
• Jose Zuniga
• Monica Guadalupe Zuniga
• Victoria Zuniga, BT
• Erick Zuo

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.