Kenneth Donahue, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS025750L Issued in PA

Practice address

1517 Packer Avenue
Philadelphia, PA 19145

Phone

(215) 462-2424

Fax

(215) 271-2915

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dagp Partners PC

  dba Dental Arts Group South Philadelphia

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1245996511
  NPD (past)
• Steven a. Moskowitz DDS

  • Dentist
  • Philadelphia, PA
  • NPI 1760916480
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1033573209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 PACKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454910",
            "telephone_number": "215-462-2424",
            "fax_number": "215-271-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 PACKER AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-462-2424",
            "fax_number": "215-271-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "KENNETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025750L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Donaghy, RDN, LDN
• Kristen Lynn Donahoo, M.S.
• Autumn Donahue
• Caroline Donahue
• Joan T Donahue, M.D.
• Lauren Donahue, PA-C
• Michael Donahue, C.R.N.P.
• Stephanie Dolores Donahue
• Tiffany A Donahue, LDN
• Donald Chu, M.D., P.C.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.

Verify at the official NPI Registry.