NPIMap

Organization Active NPI

Brandywine Dental of the Lehigh Valley, LLC

  • General Practice Dentistry
  • Mertztown, PA
National Provider Identifier
1932779196
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRANDYWINE DENTAL OF THE LEHIGH VALLEY, LLC
Practice address
9655 Longswamp Rd
Mertztown, PA 19539-8800
Phone
(610) 682-6386
Fax
(610) 682-6387
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Michael E Kun, DMDNPI 1487724811
Title
Owner/Ceo
Phone
(610) 682-6386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9655 Longswamp Rd
Mertztown, PA 19539-8800

Mailing address

9655 Longswamp Rd
Mertztown, PA 19539-8800
Phone (610) 682-6386

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.brandywinedentalpa.com Direct

National Provider Directory

National Provider Directory

Locations

9655 Longswamp Rd
Mertztown, PA 19539
Phone (610) 682-4944

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1932779196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 LONGSWAMP RD",
            "city": "MERTZTOWN",
            "state": "PA",
            "postal_code": "195398800",
            "telephone_number": "610-682-6386",
            "fax_number": "610-682-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 LONGSWAMP RD",
            "city": "MERTZTOWN",
            "state": "PA",
            "postal_code": "195398800",
            "telephone_number": "610-682-6386",
            "fax_number": "610-682-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE DENTAL OF THE LEHIGH VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "KUN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "610-682-6386",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.brandywinedentalpa.com",
            "affiliation": "N",
            "endpointDescription": "Office website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9655 Longswamp Rd",
            "city": "Mertztown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "195398800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mertztown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.