Active NPI
Thomas Richard Kunstman
- Pediatric Adolescent Medicine Physician
- Boulder, CO
National Provider Identifier
1346365244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 33985
- Practice address
- Wardenburg Health Ctr
University of Colorado
Boulder, CO 80309-0119 - Phone
- (303) 492-5101
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 33985 | CO | Primary |
Addresses
Primary practice location
Wardenburg Health Ctr
University of Colorado
Boulder, CO 80309-0119
Mailing address
640 Ithaca Dr
Drive
Boulder, CO 80305-5632
Phone (303) 492-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33985 | CO | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346365244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 ITHACA DR",
"address_2": "DRIVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055632",
"telephone_number": "303-492-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WARDENBURG HEALTH CTR",
"address_2": "UNIVERSITY OF COLORADO",
"city": "BOULDER",
"state": "CO",
"postal_code": "803090119",
"telephone_number": "303-492-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNSTMAN",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CO",
"license": "33985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- 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.