Charles Kendrick Bunch, D. M. D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9814 Issued in KY

Practice address

1030 Mulberry St
Louisville, KY 40217-1253

Phone

(270) 766-9865

NPI assigned

Jul 4, 2016

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

Enrolled in KY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1215389168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MULBERRY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171253",
            "telephone_number": "270-766-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MULBERRY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171253",
            "telephone_number": "270-766-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "CHARLES",
        "middle_name": "KENDRICK",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talya Bullock
• Craig B. Bult, D.M.D.
• Christine Elise Bumann, OTA/L
• Jeffrey M. Bumpous, MD
• Anna Marie Bunch, LPCC
• Dawn Bunch
• Scotty Bunch, D.C.
• Susan Carol Bunch, M.D.
• Michaela Bunde, PHARMD
• Danielle D Bundrent, DNP

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.