Jessica J Kunc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-137 Issued in NV

Practice address

3701 Baker LN
Reno, NV 89509-5457

Phone

(775) 825-1000

NPI assigned

Feb 3, 2025

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Smile Shop

  • Dental Clinic/Center
  • Reno, NV
  • NPI 1790372472
  NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1780498675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BAKER LN STE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095430",
            "telephone_number": "775-825-1000",
            "fax_number": "775-826-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BAKER LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095457",
            "telephone_number": "775-825-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNC",
        "first_name": "JESSICA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-87",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Andrew Kulesa, DDS
• Steve A Kulifaj, CO
• Rethika Kumar
• Tangy Kumli
• Shivani Kumra
• Patrick Kunkel, PT, DPT
• Melissa Kunz
• Inkkaruch Kuprasertkul, MD
• Kevin Kuriakose, MD
• Serena N Kurosky, OT

• Pediatric Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.