Gregory Thomas Kunz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16850 Issued in TX

Practice address

3707 N. Twin City Hwy.
Port Arthur, TX 77642-2116

Phone

(409) 962-9391

Fax

(409) 962-3932

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Twin City Dental, PA

  • General Practice Dentistry
  • Port Arthur, TX
  • NPI 1558587741
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1891884235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422116",
            "telephone_number": "409-962-9391",
            "fax_number": "409-962-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N. TWIN CITY HWY.",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422116",
            "telephone_number": "409-962-9391",
            "fax_number": "409-962-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4874",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INDIV#",
            "identifier": "01456691",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429036",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GP#",
            "identifier": "1371004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182745301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "54041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0475180",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "54038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GP#",
            "identifier": "828432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivasa Rao Kothapalli, M.D.
• Brandy Kotz, FNP
• Francis Kotzur, M.D.
• Brianna Michelle Koym, PA
• Frank Andrew Krull, MD
• Stacy Kuykendall, AUD
• L & J Pharmacies Inc (King's Pharmacy)
• L&J Pharmacies Inc (Kings Pharmacy)
• La Costa of Port Arthur PA
• Lanbake, LLC

• General Practice Dentistry in Port Arthur, TX
• Providers in Port Arthur, 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 Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.