Active NPI
Randall Kunze, DPM
- Podiatrist
- Carthage, MO
National Provider Identifier
1881662583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000634
- Practice address
- 1503 Hazel St
Carthage, MO 64836-2829 - Phone
- (417) 358-8566
- Fax
- (417) 358-8566
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000634 | MO | Primary |
Addresses
Primary practice location
1503 Hazel St
Carthage, MO 64836-2829
Mailing address
PO Box 424
Carthage, MO 64836-0424
Phone (417) 358-8566
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3032 | Other | MO | COX HEALTH PLAN |
| 139369 | Other | MO | HEALTHLINK |
| 302951702 | Medicaid | MO | |
| 49433 | Other | MO | BCBS MO STANDARD |
| 626137103 | Medicaid | MO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000634 | MO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall Kunze DPM LLC | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Carthage, MO
- NPI 1215121629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1881662583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648360424",
"telephone_number": "417-358-8566",
"fax_number": "417-358-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 HAZEL ST",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648362829",
"telephone_number": "417-358-8566",
"fax_number": "417-358-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNZE",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "000634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH PLAN",
"identifier": "3032",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "139369",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302951702",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MO STANDARD",
"identifier": "49433",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626137103",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.