Organization Active NPI

Kristina Bunch DDS, PS

Doing business as Midtown Dental Clinic

  • General Practice Dentistry
  • Richland, WA
National Provider Identifier
1679614267
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KRISTINA BUNCH DDS, PS
Doing business as
Midtown Dental Clinic
Practice address
750 George Washington Way
Suite 2
Richland, WA 99352-4247
Phone
(509) 946-1678
Fax
(509) 946-7500
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Kristinia Louise Bunch, DDS
Title
President
Phone
(509) 946-1678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X WA Primary

Addresses

Primary practice location

750 George Washington Way
Suite 2
Richland, WA 99352-4247

Mailing address

750 George Washington Way
Suite 2
Richland, WA 99352-4247
Phone (509) 946-1678

Other names 1

  • Midtown Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

750 George Washington Way
Ste 2
Richland, WA 99352
Phone (509) 946-1676

Practitioners & affiliated clinicians

Practitioners 1

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1679614267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY",
            "address_2": "SUITE 2",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-946-1678",
            "fax_number": "509-946-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY",
            "address_2": "SUITE 2",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-946-1678",
            "fax_number": "509-946-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA BUNCH DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "KRISTINIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-946-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.