Organization Active NPI

Michael E Kun DMD PC

  • General Practice Dentistry
  • Whitehall, PA
National Provider Identifier
1639749898
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL E KUN DMD PC
Practice address
881 3Rd St Ste A2
Whitehall, PA 18052-5922
Phone
(610) 266-9048
Fax
(610) 266-0250
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Michael E Kun, DMDNPI 1487724811
Title
Owner/Ceo
Phone
(610) 266-9048

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

881 3Rd St Ste A2
Whitehall, PA 18052-5922

Mailing address

881 3Rd St Ste A2
Whitehall, PA 18052-5922
Phone (610) 266-9048

Other identifiers 1

IdentifierTypeStateIssuer
DS027849LOtherPALICENSE #

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.lehighvalleysculptedsmiles.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211005000492 PA DME Supplier - Oral Surgery - Dentist 2769880814 Practice locations: Whitehall, PA

National Provider Directory

National Provider Directory

Locations

881 3rd St
Ste A2
Whitehall, PA 18052
Phone (610) 226-9048

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1639749898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 3RD ST STE A2",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525922",
            "telephone_number": "610-266-9048",
            "fax_number": "610-266-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 3RD ST STE A2",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525922",
            "telephone_number": "610-266-9048",
            "fax_number": "610-266-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E KUN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "KUN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "610-266-9048",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "DS027849L",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lehighvalleysculptedsmiles.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "881 3rd St Ste A2",
            "city": "Whitehall",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180525922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.