Kan Tsunoda, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

108116 Issued in CA

Practice address

115 W Empire St
Grass Valley, CA 95945-7510

Phone

(530) 478-8366

NPI assigned

Sep 30, 2009

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr Andrek GV Ingersoll Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grass Valley, CA
  • NPI 1487488060
  NPD

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1295069714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W EMPIRE ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457510",
            "telephone_number": "836-653-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W EMPIRE ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457510",
            "telephone_number": "530-478-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUNODA",
        "first_name": "KAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "108116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chau B Tran, D.D.S
• Daniel K Trautman, BHS
• Cheryl Adel Trenwith, MFT
• Amber Trethewey
• Hai Trieu Truong, DMD
• Jamesha Tucker
• Leslie Marie Tulloh
• Tony Tulloh
• Gerard C. Tully
• Irenea Tumpyte

• Orthodontics and Dentofacial Orthopedics Dentistry in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.