DR. GREGORY THOMAS KUNZ (NPI# 1891884235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891884235 |
| Entity Type | Individual |
| Full Name | DR. GREGORY THOMAS KUNZ |
| Credential | DDS |
| Practice Address |
3707 N. Twin City Hwy. Port Arthur TX 77642-2116 |
| Mailing Address |
3707 N Twin City Hwy Port Arthur TX 77642-2116 |
| Practice Telephone | 4099629391 |
| Practice Fax Number | 4099623932 |
| Mailing Telephone | 4099629391 |
| Mailing Fax Number | 4099623932 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4874 | AZ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16850 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA INDIV# | 01456691 | 01 | |
| SAFEGUARD | 54038 | 01 | |
| UNITED CONCORDIA GP# | 1371004 | 01 | |
| AZ | 429036 | 05 | |
| SAFEGUARD | 54041 | 01 | |
| AZ | BCBS OF AZ | AZ0475180 | 01 |
| TX | 182745301 | 05 | |
| UNITED CONCORDIA GP# | 828432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816947 | Gregory Joseph Kunz | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-01-25 |
| Street Address |
3707 N. TWIN CITY HWY. |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407377401 | Tina-thuy Thanh Tran | Dentist | 8035 Memorial Blvd Ste C, Port Arthur, TX 77640-7002 | 2017-06-29 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1891197992 | Vina Lu, Dmd, PC | Dentist | 3020 39th St, Port Arthur, TX 77642-5548 | 2014-09-19 |
| 1245437102 | David P Bernal | Dentist | 7675 Memorial Blvd, Suite 200, Port Arthur, TX 77640-2015 | 2007-07-02 |
| 1649475690 | Robert E Wiggins Jr. | Dentist | 5903 W Port Arthur Road, Port Arthur, TX 77640 | 2007-06-19 |
| 1760686091 | Michael Scott Bartlett | Dentist | 3140 Central Mall Dr., Port Arthur, TX 77642-8039 | 2007-06-12 |
| 1801951595 | Chris W. Kennaugh D.d.s.,p.a. | Dentist | 3549 39th St, Port Arthur, TX 77642-4331 | 2006-12-24 |
| 1114028008 | Barry Joe Robertson | Dentist | 3707 N Twin City Hwy, Port Arthur, TX 77642 | 2006-09-26 |
| 1992702856 | Robert Franklin Pickard | Dentist | 3330 Memorial Blvd, Port Arthur, TX 77640-2738 | 2005-07-06 |
| 1477167419 | Jaqueline Medina | Dentist | 2780 Fm 365, Suite C, Port Arthur, TX 77640 | 2020-09-08 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.