NPIMap

Organization Active NPI

Larry Kunkle, DDS, Apc

  • General Practice Dentistry
  • La Quinta, CA
National Provider Identifier
1023215712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23336 Issued in CA
Legal business name
LARRY KUNKLE, DDS, APC
Practice address
78640 Highway 111
La Quinta, CA 92253-2048
Phone
(760) 564-0955
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry Kunkle, DDS
Title
Practitoner
Phone
(760) 564-0955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23336 CA Primary

Addresses

Primary practice location

78640 Highway 111
La Quinta, CA 92253-2048

Mailing address

78670 Highway 111
PMB 215
La Quinta, CA 92253-2048
Phone (760) 564-0955

National Provider Directory

National Provider Directory

Locations

78640 Highway 111
La Quinta, CA 92253
Phone (760) 564-0955

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023215712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78670 HIGHWAY 111",
            "address_2": "PMB 215",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532048",
            "telephone_number": "760-564-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78640 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532048",
            "telephone_number": "760-564-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY KUNKLE, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNKLE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRACTITONER",
        "authorized_official_telephone_number": "760-564-0955",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.