NPIMap

Organization Active NPI

Tunison and Campbell Dentistry PLLC

Doing business as DBA Valley Dental Pediatrics

  • Pediatric Dentistry
  • Vestal, NY
National Provider Identifier
1568733939
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TUNISON AND CAMPBELL DENTISTRY PLLC
Doing business as
DBA Valley Dental Pediatrics
Practice address
139 N Jensen Rd
Vestal, NY 13850
Phone
(607) 754-3903
Fax
(607) 748-4181
NPI assigned
Jan 18, 2012
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Dr. Michelle K Tunison, DDSNPI 1043525488
Title
Owner
Phone
(607) 754-3903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

139 N Jensen Rd
Vestal, NY 13850

Mailing address

139 N Jensen Rd
Vestal, NY 13850
Phone (607) 754-3903

Other names 1

  • DBA Valley Dental Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

139 N Jensen Rd
Vestal, NY 13850
Phone (607) 754-3903

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1568733939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N JENSEN RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-754-3903",
            "fax_number": "607-748-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N JENSEN RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-754-3903",
            "fax_number": "607-748-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNISON AND CAMPBELL DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "TUNISON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-754-3903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Valley Dental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.