Bunch-Gorman, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12010651A Issued in IN

Legal business name

BUNCH-GORMAN, LLC

Practice address

1926 S Dixon Rd
Kokomo, IN 46902-7302

Phone

(765) 459-3145

Fax

(765) 459-4048

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Jason K Bunch, D.D.S., M.S.

Title

Orthodontist/ Co-Owner

Phone

(765) 459-3145

Specialties & licenses 2

Addresses

Other names 1

• Innovative Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1982925905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027302",
            "telephone_number": "765-459-3145",
            "fax_number": "765-459-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027302",
            "telephone_number": "765-459-3145",
            "fax_number": "765-459-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNCH-GORMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ORTHODONTIST/ CO-OWNER",
        "authorized_official_telephone_number": "765-459-3145",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010651A",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "8906IN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Ronald Buckmaster, N.P.
• Abigayle Buckner
• Molly Renae Budd
• Judey M Budenz, PHD, HSPP
• Shannon Bugher
• Alexis Bunch
• Adria Bundy, DPT
• Jennifer Lynn Burch, NP
• Dorothy Deette Burke, ARNP/BC
• Andrew McKay Burkhart, O.D.

• Dental Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.