DR. VIDYA KINI KUKKUNDUR DDS
NPI 1366690034
Dentist - General Practice in Marlton, NJ

Active since September 05, 2008PECOS Enrolled
525 ROUTE 73 S STE 105, MARLTON, NJ 08053(856) 596-4333(856) 596-1726 Get Directions Write a Review

NPPES record last updated: October 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vidya Kini Kukkundur Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIDYA KINI KUKKUNDUR DDS (NPI 1366690034) is an individual general practice provider in Marlton, New Jersey, licensed in New Jersey (22DI02387200) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366690034
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VIDYA KINI KUKKUNDURCredential: DDS
Location Address525 ROUTE 73 S STE 105Marlton, NJ 08053-9643
Mailing Address525 Route 73 S Ste 105Marlton, NJ 08053-9643 · (856) 872-2622 · Fax (856) 596-1726
Fax(856) 596-1726
Sole ProprietorYes
Enumeration DateSeptember 5, 2008
Last NPPES UpdateOctober 30, 2021
NPPES CertifiedAugust 20, 2021
NPI 1366690034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · 22DI02387200
Definition
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.
525 ROUTE 73 S STE 105, Marlton, NJ 08053

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vidya Kini Kukkundur Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
525 ROUTE 73 S STE 105
MARLTON, NJ 08053
Dental Hygienist
525 ROUTE 73 S STE 105
MARLTON, NJ 08053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidya Kini Kukkundur's NPI number?

The NPI number for Vidya Kini Kukkundur is 1366690034. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Vidya Kini Kukkundur located?

Vidya Kini Kukkundur practices at 525 Route 73 S Ste 105, Marlton, NJ 08053. The listed phone number is (856) 596-4333.

What is Vidya Kini Kukkundur's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Vidya Kini Kukkundur enrolled in Medicare?

Yes. Vidya Kini Kukkundur is registered in the Medicare PECOS enrollment system.

What insurance does Vidya Kini Kukkundur accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Vidya Kini Kukkundur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vidya Kini Kukkundur was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.