Kevin J Munns, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5857 Issued in WI

Practice address

4423 Golf Ter Ste 4
Eau Claire, WI 54701-4903

Phone

(715) 835-5208

NPI assigned

Mar 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 31, 2017 through Aug 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184753527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 SIERRA DR E",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017970",
            "telephone_number": "715-835-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 GOLF TER STE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014903",
            "telephone_number": "715-835-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNNS",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Mueller, MD
• Nicole Jean Mueller, OTD, OTR/L
• Jeanne Mullen, MT
• Kristin J Munger, PA-C
• Tanja Munguia
• Leanna M Munoz, NP
• Sarah A Munthe, CSAC
• Julia Fay Murphy-Antczak, M.S. CFY SLP
• Christine Murphy, MD
• Meghan A Murphy, NP

• General Practice Dentistry in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.