Organization Active NPI

Kunaal Goyal

  • Dental Clinic/Center
  • King of Prussia, PA
National Provider Identifier
1083313464
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KUNAAL GOYAL
Practice address
860 First Ave Ste 6a
King of Prussia, PA 19406-4033
Phone
(610) 337-0950
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Kunaal GoyalNPI 1427144484
Title
Owner
Phone
(610) 337-0950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

860 First Ave Ste 6a
King of Prussia, PA 19406-4033

Mailing address

860 First Ave Ste 6a
King of Prussia, PA 19406-4033
Phone (610) 337-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613003249 PA DME Supplier - Oral Surgery - Dentist 4183081771 Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1083313464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE STE 6A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-337-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE STE 6A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-337-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNAAL GOYAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "KUNAAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-337-0950"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.