Organization Active NPI

Kremmling Family Dental PLLC

  • General Practice Dentistry
  • Kremmling, CO
National Provider Identifier
1700932167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KREMMLING FAMILY DENTAL PLLC
Practice address
107 S 6TH
Kremmling, CO 80459
Phone
(970) 724-3737
Fax
(970) 513-0494
NPI assigned
Jan 26, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gregory M Jungmar, DDS
Title
Owner Dentist
Phone
(970) 724-3737

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

107 S 6TH
Kremmling, CO 80459

Mailing address

PO Box 1000
Kremmling, CO 80457
Phone (970) 724-3737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700932167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "80457",
            "telephone_number": "970-724-3737",
            "fax_number": "970-513-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 6TH",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "80459",
            "telephone_number": "970-724-3737",
            "fax_number": "970-513-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREMMLING FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNGMAR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "970-724-3737",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kremmling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.