Individual provider Active NPI

Vinaya Kundapur, BDS,MDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1649828013
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38265 Issued in TX
Practice address
7703 Floyd Curl Dr # 4.430T
San Antonio, TX 78229-3901
Phone
(210) 550-9122
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 30555 IA
Dentist 122300000X 38265 TX Primary

Addresses

Primary practice location

7703 Floyd Curl Dr # 4.430T
San Antonio, TX 78229-3901

Mailing address

8727 Fredericksburg Rd Apt 1008
San Antonio, TX 78240-4319
Phone (210) 550-9122

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38265TXMDClinical Psychologist
30555IAMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: vkundapur59861@direct.utmsa.com

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1649828013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 FREDERICKSBURG RD APT 1008",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404319",
            "telephone_number": "210-550-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # 4.430T",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-550-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDAPUR",
        "first_name": "VINAYA",
        "credential": "BDS,MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "30555",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.