NPIMap

Organization Active NPI

Kenneth M Hunter DDS, Jill H Hunter DDS, Apc

  • General Practice Dentistry
  • Vacaville, CA
National Provider Identifier
1336110055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19633 Issued in CA
Legal business name
KENNETH M HUNTER DDS, JILL H HUNTER DDS, APC
Practice address
292 Alamo Dr
Suite 5
Vacaville, CA 95688-4243
Phone
(707) 448-6882
Fax
(707) 448-9703
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jill H Hunter, DDS
Title
President
Phone
(707) 448-6882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19633 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 25264 CA

Addresses

Primary practice location

292 Alamo Dr
Suite 5
Vacaville, CA 95688-4243

Mailing address

292 Alamo Dr
Suite 5
Vacaville, CA 95688-4243
Phone (707) 448-6882

National Provider Directory

National Provider Directory

Locations

292 Alamo Dr
Ste 5
Vacaville, CA 95688
Phone (707) 345-1137

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336110055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 ALAMO DR",
            "address_2": "SUITE 5",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884243",
            "telephone_number": "707-448-6882",
            "fax_number": "707-448-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ALAMO DR",
            "address_2": "SUITE 5",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884243",
            "telephone_number": "707-448-6882",
            "fax_number": "707-448-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M HUNTER DDS, JILL H HUNTER DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-448-6882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19633",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.