Jasleen Kundlas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD10331 Issued in SC

Practice address

1209 N Retail CT
Myrtle Beach, SC 29577-9626

Phone

(843) 874-4060

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jebediah S. Christy, DDS - Myrtle Beach PLLC

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1518336924
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1225702020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 HADLEY CIR UNIT 213",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295778223",
            "telephone_number": "607-377-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N RETAIL CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779626",
            "telephone_number": "843-874-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353900",
            "country_code": "US",
            "telephone_number": "757-956-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNDLAS",
        "first_name": "JASLEEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417625",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD10331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Krauss, OTR
• Stacey Krings Cronauer, OD
• Aaron Dean Kropf, RPH
• Kru Chiropractic & Wellness
• Kenneth E Krzyzaniak, MD
• Rachel Clare Kunz, PT, DPT
• Lauren Kuperus, NP-C
• Kaitlyn Rose Kupferer, PHARMD
• Vamsi Krishna Kurra, M.D.
• James F. Kuykendall, O.T.

• General Practice Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.