Active NPI
Licet Carolina Hunter
- Dentist
- Richmond, VA
National Provider Identifier
1770345589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401420081
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-9095
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401420081 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
3409 Marwick Placer
Richmond, VA 23234
Phone (843) 949-7704
Other names 1
- Licet Carolina Munoz Vasquez
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1770345589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 MARWICK PLACER",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23234",
"telephone_number": "843-949-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191930",
"telephone_number": "804-828-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "LICET",
"middle_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401420081",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LICET",
"last_name": "MUNOZ VASQUEZ",
"middle_name": "CAROLINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.