Ryan Wright Kennedy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014296 Issued in GA

Practice address

2784 N Decatur Rd
Ste 110
Decatur, GA 30033-5903

Phone

(404) 299-1984

Fax

(404) 299-1988

NPI assigned

Aug 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1013265131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 N DECATUR RD",
            "address_2": "STE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335903",
            "telephone_number": "404-299-1984",
            "fax_number": "404-299-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 N DECATUR RD",
            "address_2": "STE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335903",
            "telephone_number": "404-299-1984",
            "fax_number": "404-299-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RYAN",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan C Kennedy, MD
• John Sargent Kennedy, M.D.
• Krista Kennedy
• Leiona Kennedy
• Margaret Ann Kennedy, FNP-C
• Veda N Kennedy
• Kenneth a. Hoose, Jr., M.D., P.C.
• Christopher Joseph Kenny, PHARMD
• Amelia Kephart, LPC
• Kolubah Kerkula

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.