Individual provider Active NPI

Nathaniel William Kunzman, D.M.D

  • Dentist
  • Greeley, CO
National Provider Identifier
1710298294
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10698 Issued in CO
Practice address
1910 56TH Avenue
Greeley, CO 80634
Phone
(970) 339-9770
Fax
(970) 339-9748
NPI assigned
Jun 29, 2010
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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
Dentist 122300000X 10698 CO Primary

Addresses

Primary practice location

1910 56TH Avenue
Greeley, CO 80634

Mailing address

1910 56TH Avenue
Greeley, CO 80634
Phone (970) 339-9770

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
10698COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kunzman & Associates Inc. Dba GB Dental Associates CurrentSince Aug 18, 2019 Accepting new patients
GB Dental Associates PC Past Accepting new patients

Locations

1910 56th Ave
Greeley, CO 80634
Phone (970) 339-9770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1710298294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 56TH AVENUE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-339-9770",
            "fax_number": "970-339-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 56TH AVENUE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-339-9770",
            "fax_number": "970-339-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZMAN",
        "first_name": "NATHANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.