Individual provider Active NPI

Heather Stephanie Kunen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
National Provider Identifier
1982180790
Registry record updated Jul 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
059152 Issued in NY
Practice address
555 E Fordham Rd
Bronx, NY 10458-5046
Phone
(347) 801-8888
NPI assigned
Jul 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 059152 NY Primary

Addresses

Primary practice location

555 E Fordham Rd
Bronx, NY 10458-5046

Mailing address

555 E Fordham Rd
Bronx, NY 10458-5046
Phone (347) 801-8888

Other practice location 1

188 Dyckman St
New York, NY 10040-1004
Phone (347) 801-8888

Other practice location 2

468 E Fordham Rd
Bronx, NY 10458-5108
Phone (347) 801-8888

Other identifiers 1

IdentifierTypeStateIssuer
059152OtherNYNY STATE DENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059152NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Smile Braces, P.C. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Perfect Smile Braces, P.C. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1982180790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "347-801-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "347-801-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Dyckman St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401004",
            "country_code": "US",
            "telephone_number": "347-801-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 E Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585108",
            "country_code": "US",
            "telephone_number": "347-801-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNEN",
        "first_name": "HEATHER",
        "middle_name": "STEPHANIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "059152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE DENTAL LICENSE",
            "identifier": "059152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; 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.