Active NPI
Deepthi Kunchey
- Dentist
- Houston, TX
National Provider Identifier
1033601802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34873
- Practice address
- 3310 Orlando St
Houston, TX 77093-4855 - Phone
- (713) 742-5020
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041704 | PA | |
| Dentist | 122300000X | 34873 | TX | Primary |
Addresses
Primary practice location
3310 Orlando St
Houston, TX 77093-4855
Mailing address
2213 Padron PL
Houston, TX 77091-4429
Phone (610) 864-0482
Other practice location 1
392 Avon Rd
Upper Darby, PA 19082-4702
Phone (732) 599-8784
Other practice location 2
329 E Gibson St
Jasper, TX 75951-5028
Phone (409) 489-0066
Other practice location 3
860 S 11th St Ste 101
Beaumont, TX 77701
Phone (409) 777-4747
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS041704 | PA | MD | Dentist |
| 34873 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Family Dental | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Jasper, TX
- NPI 1699104000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596844800000",
"number": "1033601802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 PADRON PL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770914429",
"telephone_number": "610-864-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 ORLANDO ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770934855",
"telephone_number": "713-742-5020"
}
],
"practiceLocations": [
{
"address_1": "392 Avon Rd",
"address_purpose": "LOCATION",
"city": "Upper Darby",
"state": "PA",
"postal_code": "190824702",
"country_code": "US",
"telephone_number": "732-599-8784",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "329 E Gibson St",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "TX",
"postal_code": "759515028",
"country_code": "US",
"telephone_number": "409-489-0066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "860 S 11th St Ste 101",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "77701",
"country_code": "US",
"telephone_number": "409-777-4747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNCHEY",
"first_name": "DEEPTHI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2020-08-08",
"certification_date": "2020-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041704",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.