Active NPI
Karessa Kuntz, DDS
- Dentist
- Belmont, MA
National Provider Identifier
1861450728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20269
- Practice address
- 66 Leonard St Ste 2
Belmont, MA 02478-2512 - Phone
- (617) 484-6558
- NPI assigned
- May 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7781 | NC | |
| Dentist | 122300000X | DSO83211 | PA | |
| Dentist | 122300000X | DN20269 | MA | Primary |
Addresses
Primary practice location
66 Leonard St Ste 2
Belmont, MA 02478-2512
Mailing address
66 Leonard St Ste 200
Belmont, MA 02478-2512
Phone (704) 502-5897
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 |
|---|---|---|---|
| DN20269 | MA | MD | Dentist |
| DSO83211 | PA | MD | Dentist |
| 7781 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Beautiful, PLLC | Current | Accepting new patients |
Locations
66 Leonard St
Ste 2
Belmont, MA 02478
Phone (617) 484-6558
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Belmont, MA
- NPI 1174081855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668211200000",
"number": "1861450728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 LEONARD ST STE 200",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782512",
"telephone_number": "704-502-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 LEONARD ST STE 2",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782512",
"telephone_number": "617-484-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "KARESSA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2022-11-12",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7781",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DSO83211",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN20269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.