Active NPI
Lawrence Kunkle
- General Practice Dentistry
- Palm Springs, CA
National Provider Identifier
1154527919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23336
- Practice address
- 1921 E Tahquitz Canyon Way
Palm Springs, CA 92262-7001 - Phone
- (760) 325-6480
- Fax
- (760) 325-6480
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 23336 | CA | Primary |
Addresses
Primary practice location
1921 E Tahquitz Canyon Way
Palm Springs, CA 92262-7001
Mailing address
1921 E Tahquitz Canyon Way
Palm Springs, CA 92262-7001
Phone (760) 325-6480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23336 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard J. Gill, D.D.S., Inc. | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Palm Desert, CA
- NPI 1588817795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1154527919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 E TAHQUITZ CANYON WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627001",
"telephone_number": "760-325-6480",
"fax_number": "760-301-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 E TAHQUITZ CANYON WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627001",
"telephone_number": "760-325-6480",
"fax_number": "760-325-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKLE",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.