Kinsun David Fung, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

057332 Issued in NY

Practice address

10605 Jamaica Ave
Richmond Hill, NY 11418-2016

Phone

(718) 441-4411

Fax

(718) 441-4412

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Davids Dentistry PC

  • General Practice Dentistry
  • Richmond Hill, NY
  • NPI 1548786064
  NPD Authorized official
• David'S Dental, P.C.

  • General Practice Dentistry
  • Bayside, NY
  • NPI 1770974164
  NPD (past) Authorized official
• Shmuely and Schevon DDS LLP

  • General Practice Dentistry
  • Bayside, NY
  • NPI 1366747701
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1790123735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182016",
            "telephone_number": "718-441-4411",
            "fax_number": "718-441-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182016",
            "telephone_number": "718-441-4411",
            "fax_number": "718-441-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "KINSUN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rivka Frank
• Amanda Kristine Fravola, RD CDN
• Gloria Okaonye Fredrick II, RN
• Dmitry Fridman, M.D., PH.D.
• Fuller Care Now, LLC
• Tamara Furshpan
• Zhanneta Fuzaylova, TEACHER
• Alexis Gadsden, CASAC
• Joanne Rize Gallart
• John R. Gallub, PH.D.

• Dentist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.