Blunn Creek Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BLUNN CREEK FAMILY DENTISTRY

Practice address

2550 S Interstate 35 Ste 210
Austin, TX 78704-5724

Phone

(512) 442-6728

Fax

(512) 956-8919

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kunjumary John Kolathu, DDSNPI 1861922908

Title

Owner

Phone

(616) 920-4955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kunjumary John Kolathu, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1861922908
  NPD Authorized official

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1932074234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S INTERSTATE 35 STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045724",
            "telephone_number": "512-788-9282",
            "fax_number": "512-956-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S INTERSTATE 35 STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045724",
            "telephone_number": "512-442-6728",
            "fax_number": "512-956-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUNN CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "KOLATHU",
        "authorized_official_first_name": "KUNJUMARY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-920-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Blumenstock
• Cherilynn Blumenthal, BCBA
• Samantha Blumenthal
• Guy V Blumhagen, MD
• William Blunk, AUD
• Ashley Schrump Blunt
• Kiersten Elizabeth Bluntzer
• Emily Blust
• Carolyn Bluthardt, LPA-ASSOCIATE
• Blvd Dentistry Austin PLLC

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.