Jackie Rae Kunkle, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

8712 One Half E Maringo Dr
Spokane, WA 99212-1822

Phone

(509) 535-8760

Fax

(509) 325-3919

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1508052135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 ONE HALF E MARINGO DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121822",
            "telephone_number": "509-535-8760",
            "fax_number": "509-535-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 ONE HALF E MARINGO DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121822",
            "telephone_number": "509-535-8760",
            "fax_number": "509-325-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKLE",
        "first_name": "JACKIE",
        "middle_name": "RAE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900014",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Elizabeth Kunda
• Lacey A Kungas
• Daniel Joseph Kunkel, D.D.S.
• Mary Kunkel
• Patrick Kunkel, DO
• Dylan Kuntz, DPT
• Kolten R. Kuntz, O.D.
• Noel M. Kuntzmann, LICSW
• Lisa L.B. Kunz, ARNP
• Ryan Christopher Kunz, CDPT

• Dental Hygienist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.