Michael J. Kunzler DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1116 Issued in WY

Legal business name

MICHAEL J. KUNZLER DMD, INC

Practice address

2822 Highway 414
Lyman, WY 82937-9140

Phone

(307) 786-4500

Fax

(307) 786-4649

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Michael Jay Kunzler, DMD

Title

Owner

Phone

(307) 786-4500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1912438524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 HIGHWAY 414",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829379140",
            "telephone_number": "307-786-4500",
            "fax_number": "307-786-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 HIGHWAY 414",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829379140",
            "telephone_number": "307-786-4500",
            "fax_number": "307-786-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. KUNZLER DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "KUNZLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-786-4500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144552900",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120147600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason R. Haycock, DC
• High Country Behavioral Health
• High Country Behavioral Health
• Mark Jaggi, LCSW
• Michael J Kunzler, DMD
• Lauri S Morgan, NP
• My Hearing Centers, LLC
• Gary Noe, MD
• North Lincoln County Hospital District
• Tia Star Owens

• General Practice Dentistry in Lyman, WY
• Providers in Lyman, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.