David Gordon Kunzman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4857 Issued in NC

Practice address

411 Fairview St
Clinton, NC 28328-2311

Phone

(910) 592-3516

Fax

(910) 592-0530

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• David G Kunzman DDS,PA

  • Dental Clinic/Center
  • Clinton, NC
  • NPI 1871792390
  NPD (past) Authorized official
• Lane and Associates Xxxii DDS PA

  • General Practice Dentistry
  • Clinton, NC
  • NPI 1083144992
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275540619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282311",
            "telephone_number": "910-592-3516",
            "fax_number": "910-592-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282311",
            "telephone_number": "910-592-3516",
            "fax_number": "910-592-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZMAN",
        "first_name": "DAVID",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith S Kinsley, D.C.
• Corina Jazzlyn Knowles
• Kosterman Chiropractic Center, P.a.
• Timothy Mark Kosterman, D.C.
• Alexis Krock, DO
• Donna R Landes, LPCA
• Lane and Associates Xxxii DDS PA
• Sarah Lane, MSCCC/SLP
• Lauren Sink Phillips DDS PLLC
• Anieska Lavergne, BT

• General Practice Dentistry in Clinton, NC
• Providers in Clinton, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.