Active NPI
Joseph A Kunchik, DDS
- General Practice Dentistry
- Cleveland, OH
National Provider Identifier
1487668356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21134
- Practice address
- 3545 Ridge Rd
Unit 2
Cleveland, OH 44102 - Phone
- (216) 961-6860
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21134 | OH | Primary |
Addresses
Primary practice location
3545 Ridge Rd
Unit 2
Cleveland, OH 44102
Mailing address
27054 Courtland Meadows
Westlake, OH 44145
Phone (440) 801-1302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21134 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorain County Health & Dentistry | Current | Accepting new patients | |
| Lorain County Health & Dentistry | Current | Accepting new patients |
Locations
105 Louden Ct
Elyria, OH 44035
1205 Broadway
Lorain, OH 44052
260 S Main St
Oberlin, OH 44074
Interoperability endpoints
- joseph.kunchik.p11@direct.loraincountyhealth.nextgenshare.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Lorain, OH
- NPI 1215194527
-
- Community/Retail Pharmacy
- Lorain, OH
- NPI 1871304550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1487668356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27054 COURTLAND MEADOWS",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-801-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 RIDGE RD",
"address_2": "UNIT 2",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44102",
"telephone_number": "216-961-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNCHIK",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "21134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.