Individual provider Active NPI

Benjamin Kunze, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1912301334
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09378 Issued in TX
Practice address
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331
Phone
(214) 712-2000
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09378 TX Primary

Addresses

Primary practice location

13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331

Mailing address

351 N 5TH St
Apt 1361
Garland, TX 75040-6367
Phone (214) 712-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkunze299350@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104000471 OK Practitioner - Physician Assistant 2769707074 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia Col of Osteo Med, Sewanee, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Memorial Health Hospital, Lawton, OK, CCN 370056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4921OKMDGeneral Practice Dentistry
PA09378TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Apr 10, 2025 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Nov 29, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince May 5, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince May 5, 2023 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Nov 29, 2022 Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Comanche County Healthcare Past Accepting new patients

Locations

1675 12th Ave NW
Ardmore, OK 73401
Phone (580) 798-0234

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1912301334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N 5TH ST",
            "address_2": "APT 1361",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406367",
            "telephone_number": "214-712-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "SUITE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "214-712-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZE",
        "first_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkunze299350@direct.sw.org",
            "affiliation": "N",
            "address_1": "3600 Gaston Ave Ste 550",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.