Individual provider Active NPI

Kenneth R Dunston, DDS, MSD, PC

  • Pediatric Dentistry
  • Farmington, NM
National Provider Identifier
1477515104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
991 Issued in NM
Practice address
2050 N Butler Ave
Farmington, NM 87401-4201
Phone
(505) 327-5057
Fax
(505) 327-0330
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 991 NM Primary

Addresses

Primary practice location

2050 N Butler Ave
Farmington, NM 87401-4201

Mailing address

2050 N Butler Ave
Farmington, NM 87401-4201
Phone (505) 327-5057

Other identifiers 2

IdentifierTypeStateIssuer
007350MedicaidNM
B8178MedicaidNM

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

LicenseStateTypeSpecialty
991NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Marina Hampton DDS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477515104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014201",
            "telephone_number": "505-327-5057",
            "fax_number": "505-327-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014201",
            "telephone_number": "505-327-5057",
            "fax_number": "505-327-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSTON",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007350",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B8178",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.