Kennedy & Richardson Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENNEDY & RICHARDSON DENTAL OFFICE

Practice address

1000 Parkway Rd
Ste. D
Charleston, WV 25309-9418

Phone

(304) 744-9717

Fax

(304) 744-9733

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Dillon

Title

Account Manager

Phone

(304) 744-9717

Specialties & licenses 1

Addresses

Tax ID family

Kennedy Dental Office3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kennedy Dental Office

  • General Practice Dentistry
  • Whitesville, WV
  • NPI 1033270970
  NPD tax ID
• Kennedy Dental Office

  • General Practice Dentistry
  • Montgomery, WV
  • NPI 1447311451
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A. Kennedy, DDS

  • General Practice Dentistry
  • South Charleston, WV
  • NPI 1770694176
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003850256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARKWAY RD",
            "address_2": "STE. D",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253099418",
            "telephone_number": "304-744-9717",
            "fax_number": "304-744-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARKWAY RD",
            "address_2": "STE. D",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253099418",
            "telephone_number": "304-744-9717",
            "fax_number": "304-744-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY & RICHARDSON DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "304-744-9717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kelsh, NP
• Mark Charles Kenamond, MD
• Sarah Kendall
• Janelle Kendrick
• Tiesha Kendrick
• Akia Kennedy-McCloud
• Alycia Kennedy-McLeod
• Amanda Kennedy
• Brenda Kennedy
• Bridget Kennedy

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.