Jeff Kunsemiller

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021.002130 Issued in IL

Practice address

1219 Thouvenot LN
Suite 103
Shiloh, IL 62269-7203

Phone

(618) 206-8040

Fax

(618) 206-8082

NPI assigned

Sep 10, 2010

Last updated

Sep 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1932416997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 THOUVENOT LN",
            "address_2": "SUITE 103",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697203",
            "telephone_number": "618-206-8040",
            "fax_number": "618-206-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 THOUVENOT LN",
            "address_2": "SUITE 103",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697203",
            "telephone_number": "618-206-8040",
            "fax_number": "618-206-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNSEMILLER",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Koeneman, LPC
• Julie Sudduth Koesterer, PT
• Paul Kogan, MD
• Albert E Kombe, MD
• Linsey Krafve, PA-C
• Staci J Ladowitz, PA
• Susan J Laduzinsky, MD
• Tera James Langston, PHD
• Jason Dole Lee, MD
• David William Lesko, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.