Individual provider Active NPI

Willard Douglas Kunz, DVM

  • Veterinarian
  • Palm Springs, CA
National Provider Identifier
1831530872
Registry record updated Jul 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
6312 Issued in CA
Practice address
4299 E Ramon Rd
Palm Springs, CA 92264-1422
Phone
(760) 778-9999
Fax
(760) 778-9979
NPI assigned
Jul 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 6312 CA Primary
Veterinarian 174M00000X V-1114 ID
Veterinarian 174M00000X 6694020-2801 UT

Addresses

Primary practice location

4299 E Ramon Rd
Palm Springs, CA 92264-1422

Mailing address

4299 E Ramon Rd
Palm Springs, CA 92264-1422
Phone (760) 778-9999

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

LicenseStateTypeSpecialty
6312CAMDVeterinarian
V-1114IDMDVeterinarian
6694020-2801UTMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373068800000",
    "number": "1831530872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641422",
            "telephone_number": "760-778-9999",
            "fax_number": "760-778-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641422",
            "telephone_number": "760-778-9999",
            "fax_number": "760-778-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "WILLARD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-06",
        "last_updated": "2013-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "6312",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "ID",
            "license": "V-1114",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "6694020-2801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.