Organization Active NPI

Karl K. Kunstadter DDS PC

  • General Practice Dentistry
  • Grand Junction, CO
National Provider Identifier
1114094414
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104767 Issued in CO
Legal business name
KARL K. KUNSTADTER DDS PC
Doing business as
Skyline Dental
Practice address
2795 Skyline CT
Grand Junction, CO 81506-3908
Phone
(970) 242-3545
Fax
(970) 254-9849
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karl M Kunstadter, D.D.S.
Title
President
Phone
(970) 242-3545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 104767 CO Primary

Addresses

Primary practice location

2795 Skyline CT
Grand Junction, CO 81506-3908

Mailing address

2795 Skyline CT
Grand Junction, CO 81506-3908
Phone (970) 242-3545

Other identifiers 1

IdentifierTypeStateIssuer
75834235MedicaidCO

Other names 1

  • Skyline Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2795 Skyline Ct
Grand Junction, CO 81506
Phone (970) 242-3545

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114094414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 SKYLINE CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063908",
            "telephone_number": "970-242-3545",
            "fax_number": "970-254-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 SKYLINE CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063908",
            "telephone_number": "970-242-3545",
            "fax_number": "970-254-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL K. KUNSTADTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNSTADTER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-242-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75834235",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.