Frederic Robert Kunken, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

027299 Issued in NY

Practice address

165 N Village Ave
Suite 126
Rockville Centre, NY 11570-3761

Phone

(516) 536-8888

Fax

(516) 536-8960

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346325727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE",
            "address_2": "SUITE 126",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE",
            "address_2": "SUITE 126",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703761",
            "telephone_number": "516-536-8888",
            "fax_number": "516-536-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEN",
        "first_name": "FREDERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "027299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Kremer, M.D.
• Stephen M Krigsman, MD
• Kathleen Kronbichler, ANP-C
• Randi Fath Krutzler, RPH MS
• Elina Kugel, PSY.D.
• Daniel Kurbanov, M.D.
• Jeffrey Allen Kurta, MD
• Mirna M.J Labissiere, PA, MBA
• Giacomo Antonio Lacorte
• Carmela M Laffaye, RPA

• Pediatric Dentistry in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.