Individual provider Active NPI

John Kimo Tsunehiro, DDS

  • General Practice Dentistry
  • Apo Ae, NY
National Provider Identifier
1104883719
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3084 Issued in WI
Practice address
CMR 442
Heidelberg Dental Activity Credentials Office
Apo Ae, NY 09042
Phone
(622) 117-2288
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3084 WI Primary

Addresses

Primary practice location

CMR 442
Heidelberg Dental Activity Credentials Office
Apo Ae, NY 09042

Mailing address

CMR 442
Heidelberg Dental Activity Credentials Office
Apo Ae, NY 09042
Phone (622) 117-2288

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104883719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CMR 442",
            "address_2": "HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09042",
            "telephone_number": "622-117-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CMR 442",
            "address_2": "HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09042",
            "telephone_number": "622-117-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUNEHIRO",
        "first_name": "JOHN",
        "middle_name": "KIMO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apo Ae, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.