Active NPI
Joseph Maughan Kent, D.D.S.
- Dentist
- Lake Isabella, CA
National Provider Identifier
1023010840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25919
- Practice address
- 6421 Lynch Canyon Dr
Lake Isabella, CA 93240-9726 - Phone
- (760) 379-3626
- NPI assigned
- Aug 11, 2005
- Last updated
- Oct 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25919 | CA | Primary |
Addresses
Primary practice location
6421 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Mailing address
PO Box 186
Lake Isabella, CA 93240-0186
Phone (760) 379-3625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B25919 | Other | CA | DENTI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160518001848 | CA | Order and Referring Only - Dentist | 7416246244 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25919 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph M Kent DDS Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Lake Isabella, CA
- NPI 1184040610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1023010840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "932400186",
"telephone_number": "760-379-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 LYNCH CANYON DR",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "932409726",
"telephone_number": "760-379-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "JOSEPH",
"middle_name": "MAUGHAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "25919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B25919",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Isabella, CA
- Cindy B Jewett
- Robert Gary Johannsen
- Patricia Ann Jones
- Joseph M Kent DDS Inc.
- James E Kent, CAS
- Kern River Valley Care Center
- Kern River Valley Indian Health Services
- Kern Valley Healthcare District
- Kern Valley Healthcare District (Kern Valley Healthcare District MobileCare)
- Kern Valley Medical Supply
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.