Individual provider Active NPI

Craig A Zunka, D.D.S.

  • General Practice Dentistry
  • Front Royal, VA
National Provider Identifier
1225167117
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401004957 Issued in VA
Practice address
107 W 4TH St
Front Royal, VA 22630-2609
Phone
(540) 635-3610
Fax
(540) 635-3510
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401004957 VA Primary

Addresses

Primary practice location

107 W 4TH St
Front Royal, VA 22630-2609

Mailing address

107 W 4TH St
Front Royal, VA 22630-2609
Phone (540) 635-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20160122001685 VA Order and Referring Only - DentistPractitioner - Dentist 2668775727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401004957VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Craig a. Zunka, D.D.S., P.C. CurrentSince Oct 13, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

107 W 4th St
Front Royal, VA 22630
Phone (540) 635-3610

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225167117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302609",
            "telephone_number": "540-635-3610",
            "fax_number": "540-635-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302609",
            "telephone_number": "540-635-3610",
            "fax_number": "540-635-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNKA",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.