Organization Active NPI

Kunkes Ear Nose & Throat PC

  • Otolaryngology Physician
  • Riverdale, GA
National Provider Identifier
1609036144
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
021535 Issued in GA
Legal business name
KUNKES EAR NOSE & THROAT PC
Practice address
86 Upper Riverdale Rd
Suite 201
Riverdale, GA 30274
Phone
(678) 902-0222
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Pia Magdalene Berks
Title
Biller
Phone
(698) 902-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 021535 GA Primary

Addresses

Primary practice location

86 Upper Riverdale Rd
Suite 201
Riverdale, GA 30274

Mailing address

86 Upper Riverdale Rd
Suite 201
Riverdale, GA 30274
Phone (678) 902-0222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1609036144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 UPPER RIVERDALE RD",
            "address_2": "SUITE 201",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "678-902-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 UPPER RIVERDALE RD",
            "address_2": "SUITE 201",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "678-902-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNKES EAR NOSE & THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BERKS",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "MAGDALENE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "698-902-0222"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "021535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.