Individual provider Active NPI

Deepthi Kunchey

  • Dentist
  • Houston, TX
National Provider Identifier
1033601802
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34873 Issued in TX
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

Updated by the provider on Aug 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DS041704PAMDDentist
34873TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.