Active NPI
Kristopher Cheyn Gunnerson, DMD
- General Practice Dentistry
- Payson, UT
National Provider Identifier
1700966348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 323946
- Practice address
- 33 West 300 South
Payson, UT 84651 - Phone
- (801) 465-4772
- Fax
- (801) 465-4850
- NPI assigned
- Oct 17, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 323946 | UT | Primary |
Addresses
Primary practice location
33 West 300 South
Payson, UT 84651
Mailing address
33 W 300 S
Payson, UT 84651-2801
Phone (801) 465-3233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868450 | Other | UNITED CONCORDIA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323946 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1700966348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W 300 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512801",
"telephone_number": "801-465-3233",
"fax_number": "801-331-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WEST 300 SOUTH",
"city": "PAYSON",
"state": "UT",
"postal_code": "84651",
"telephone_number": "801-465-4772",
"fax_number": "801-465-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNERSON",
"first_name": "KRISTOPHER",
"middle_name": "CHEYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "323946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "868450",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.