Active NPI
Michael Jared Hunzinger, DMD
- General Practice Dentistry
- Lexington, SC
National Provider Identifier
1063709160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8720
- Practice address
- 5551 Sunset Blvd
Suite B
Lexington, SC 29072-9132 - Phone
- (803) 399-8829
- Fax
- (803) 520-0752
- NPI assigned
- Jul 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8720 | SC | Primary |
| General Practice Dentistry | 1223G0001X | 9070 | KY |
Addresses
Primary practice location
5551 Sunset Blvd
Suite B
Lexington, SC 29072-9132
Mailing address
5551 Sunset Blvd
Suite B
Lexington, SC 29072-9132
Phone (803) 399-8829
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8720 | SC | MD | General Practice Dentistry |
| 9070 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of SC, PC | General Practice | 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.
-
- General Practice Dentistry
- Lexington, SC
- NPI 1497166227
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1063709160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 SUNSET BLVD",
"address_2": "SUITE B",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729132",
"telephone_number": "803-399-8829",
"fax_number": "803-520-0752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5551 SUNSET BLVD",
"address_2": "SUITE B",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729132",
"telephone_number": "803-399-8829",
"fax_number": "803-520-0752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNZINGER",
"first_name": "MICHAEL",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-09",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8720",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.