Active NPI
John Kimo Tsunehiro, DDS
- General Practice Dentistry
- Apo Ae, NY
National Provider Identifier
1104883719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.