Victor M Nyakundi, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857228 Issued in MA

Practice address

28 Fairhaven Rd
Mattapoisett, MA 02739-1479

Phone

(508) 535-4818

Fax

(508) 758-1369

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1508229238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FAIRHAVEN RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391479",
            "telephone_number": "508-535-4818",
            "fax_number": "508-758-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FAIRHAVEN RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391479",
            "telephone_number": "508-535-4818",
            "fax_number": "508-758-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAKUNDI",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motivational Healing & Wellness
• William Bernard Muldoon Jr., DDS
• Deborah J Murray, LICSW-MA; LCSW-R-NY
• Patricia A Murray
• Shirley A Neyhart, N.P.
• Dana O'Dowd
• James Andrew Pierson, MSW, LICSW
• Eric Pinho, PMHNP-BC
• Jennifer L Prouty, CNS
• Lewis Isaac Prouty

• General Practice Dentistry in Mattapoisett, MA
• Providers in Mattapoisett, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.

Verify at the official NPI Registry.