Kunjumary John Kolathu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32962 Issued in TX

Practice address

Blunn Creek Family Dentistry
2550 S I-35 Frontage Rd # 210, Austin, TX 78704
Austin, TX 78704

Phone

(512) 442-6728

Fax

(512) 956-8919

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blunn Creek Family Dentistry

  • Dentist
  • Austin, TX
  • NPI 1932074234
  NPD Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1861922908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLUNN CREEK FAMILY DENTISTRY",
            "address_2": "2550 S I-35 FRONTAGE RD # 210, AUSTIN, TX 78704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-442-6728",
            "fax_number": "512-956-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUNN CREEK FAMILY DENTISTRY",
            "address_2": "2550 S I-35 FRONTAGE RD # 210, AUSTIN, TX 78704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-442-6728",
            "fax_number": "512-956-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLATHU",
        "first_name": "KUNJUMARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niharika Koka, MD
• Awatif Koko
• Kola Dentistry, PLLC
• Charlotte Grace Mallon Kolada, WHNP-BC
• Stephen Matthew Kolar, PH.D.
• Jennifer Kolb, LCSW
• Morgan Danae Kolb, PT, DPT
• Timothy F Kolda, MD
• Morgan Elizabeth Kolencherry, PT, DPT
• Thomas Mark Kolenda, D.C.

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.