Andrew T. Kunstman D.D.S. PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

003996 Issued in AZ

Legal business name

ANDREW T. KUNSTMAN D.D.S. PC

Practice address

1989 Frontage Rd
Sierra Vista, AZ 85635-4698

Phone

(520) 458-5611

Fax

(520) 458-8995

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Thomas Kunstman, D.D.S.

Title

Owner

Phone

(520) 458-5611

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1487925988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 FRONTAGE RD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354698",
            "telephone_number": "520-458-5611",
            "fax_number": "520-458-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 FRONTAGE RD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354698",
            "telephone_number": "520-458-5611",
            "fax_number": "520-458-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW T. KUNSTMAN D.D.S. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "KUNSTMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-458-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "003996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "631015",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.