Individual provider Active NPI

Zachary Gillen Kuenzli, D.D.S.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1578799656
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412470 Issued in VA
Practice address
4876 Princess Anne Rd
Ste. 111
Virginia Beach, VA 23462-4447
Phone
(757) 490-9300
Fax
(757) 490-9871
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412470 VA Primary

Addresses

Primary practice location

4876 Princess Anne Rd
Ste. 111
Virginia Beach, VA 23462-4447

Mailing address

4876 Princess Anne Rd
Ste. 111
Virginia Beach, VA 23462-4447
Phone (757) 490-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401412470VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter G. Kuenzli, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1578799656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4876 PRINCESS ANNE RD",
            "address_2": "STE. 111",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624447",
            "telephone_number": "757-490-9300",
            "fax_number": "757-490-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 PRINCESS ANNE RD",
            "address_2": "STE. 111",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624447",
            "telephone_number": "757-490-9300",
            "fax_number": "757-490-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENZLI",
        "first_name": "ZACHARY",
        "middle_name": "GILLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.