Individual provider Active NPI

Vivian Rose Kunstmann, DDS

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1104995539
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12167 Issued in FL
Practice address
9291 Glades Road
Suite 304
Boca Raton, FL 33434
Phone
(561) 470-8006
Fax
(561) 470-8007
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN12167 FL Primary

Addresses

Primary practice location

9291 Glades Road
Suite 304
Boca Raton, FL 33434

Mailing address

9291 Glades Road
Suite 304
Boca Raton, FL 33434
Phone (561) 470-8006

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
DN12167FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian R Kunstmann DDS PA 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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1104995539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 GLADES ROAD",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-470-8006",
            "fax_number": "561-470-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GLADES ROAD",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-470-8006",
            "fax_number": "561-470-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNSTMANN",
        "first_name": "VIVIAN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.