Active NPI
Peter T Gakunga, BDS PHD
- Dentist
- San Antonio, TX
National Provider Identifier
1689747586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- F21875
- Practice address
- 7703 Floyd Curl Dr
San Antonio, TX 78229 - Phone
- (210) 567-6405
- Fax
- (210) 567-2844
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | F21875 | TX | Primary |
Addresses
Primary practice location
7703 Floyd Curl Dr
San Antonio, TX 78229
Mailing address
PO Box 40397
San Antonio, TX 78229-3900
Phone (210) 567-6405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1691067 | Other | UNITED CONCORDIA | |
| 880996 | Other | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F21875 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689747586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40397",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293900",
"telephone_number": "210-567-6405",
"fax_number": "210-567-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-567-6405",
"fax_number": "210-567-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAKUNGA",
"first_name": "PETER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "BDS PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "F21875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1691067",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "880996",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.