Dietmar A Kennel, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

19264 Issued in TX

Practice address

1826 Parkway Dr Ste 500
Lubbock, TX 79403-4421

Phone

(806) 687-5259

Fax

(806) 771-0850

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Center of Lubbock, Inc

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1831118306
  NPD (past)
• Community Health Center of Lubbock, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1225304686
  NPD (past)
• Lubbock Kids Dental PLLC

  • Pediatric Dentistry
  • Lubbock, TX
  • NPI 1124396312
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1013926955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 PARKWAY DR STE 500",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794034421",
            "telephone_number": "806-687-5259",
            "fax_number": "806-771-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEL",
        "first_name": "DIETMAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "19264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112112-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Rachelle Kelly, FNP
• Katy Kemeze Nguefack
• Amber Kemper, PA-C
• Ashley Kennedy, APRN, FNP-C
• Casey Woodard Kennedy, APRN
• Elizabeth Walterscheid Kennelly, AA
• Cindy D Kennon, PTA
• Kelly P Kensing, M.D.
• Carol Kent, MED, LPC-S
• Abbe Kerby

• Pediatric Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.