Active NPI
Jeffrey R. Kunkel, DDS
- Pediatric Dentistry
- Fresno, CA
National Provider Identifier
1821161001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60083
- Practice address
- 7525 N Cedar Ave Ste 105
Fresno, CA 93720-2689 - Phone
- (559) 439-6600
- Fax
- (559) 439-5400
- NPI assigned
- Nov 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010581 | WA | |
| Pediatric Dentistry | 1223P0221X | 60083 | CA | Primary |
Addresses
Primary practice location
7525 N Cedar Ave Ste 105
Fresno, CA 93720-2689
Mailing address
7525 N Cedar Ave Ste 105
Fresno, CA 93720-2689
Phone (559) 439-6600
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010581 | WA | MD | General Practice Dentistry |
| 60083 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1821161001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 N CEDAR AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202689",
"telephone_number": "559-439-6600",
"fax_number": "559-439-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 N CEDAR AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202689",
"telephone_number": "559-439-6600",
"fax_number": "559-439-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "JEFFREY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010581",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "60083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.