Active NPI
Jennifer Ann Kunkel, DDS
- General Practice Dentistry
- Needville, TX
National Provider Identifier
1851453815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20204
- Practice address
- 12815 Highway 36
Needville, TX 77461-8112 - Phone
- (979) 793-5566
- NPI assigned
- Dec 15, 2006
- Last updated
- May 6, 2024
- 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 | 20204 | TX | Primary |
Addresses
Primary practice location
12815 Highway 36
Needville, TX 77461-8112
Mailing address
PO Box 1627
Needville, TX 77461-1627
Phone (979) 793-5566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1327462 | Other | TX | UNITED CONCORIDA |
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 |
|---|---|---|---|
| 20204 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Needville Family Dentistry, PLLC | General Practice | Current | Accepting new patients |
Locations
12815 Highway 36
Needville, TX 77461
Phone (979) 793-5566
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1851453815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1627",
"city": "NEEDVILLE",
"state": "TX",
"postal_code": "774611627",
"telephone_number": "979-793-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12815 HIGHWAY 36",
"city": "NEEDVILLE",
"state": "TX",
"postal_code": "774618112",
"telephone_number": "979-793-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORIDA",
"identifier": "1327462",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.