Active NPI
Sydney Kunkel
- General Practice Dentistry
- Bloomington, IL
National Provider Identifier
1821921891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 319.025278
- Practice address
- 507 N Hershey Rd Ste a
Bloomington, IL 61704-3744 - Phone
- (309) 598-1697
- NPI assigned
- Jun 8, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 319.025278 | IL | Primary |
Addresses
Primary practice location
507 N Hershey Rd Ste a
Bloomington, IL 61704-3744
Mailing address
113 Gregory LN
Lexington, IL 61753-1620
Phone (309) 445-1515
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": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1821921891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 GREGORY LN",
"city": "LEXINGTON",
"state": "IL",
"postal_code": "617531620",
"telephone_number": "309-445-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N HERSHEY RD STE A",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043744",
"telephone_number": "309-598-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "319.025278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.