Patrick H Kenney, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

00202850 Issued in CO

Practice address

2555 17TH St
Unit 518
Denver, CO 80211-6455

Phone

(757) 496-9526

NPI assigned

Jun 9, 2016

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

Medicare fee-for-service enrollment

Enrolled in CO

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

State licenses

Networks

• CO HMO D-SNP
• CO HMO C-SNP

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1043669013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 17TH ST",
            "address_2": "UNIT 518",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802116455",
            "telephone_number": "757-496-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 17TH ST",
            "address_2": "UNIT 518",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802116455",
            "telephone_number": "757-496-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "PATRICK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth E. Petri M.D. PC
• Kenneth F Baum MD PC
• Kenneth Kauvar MD
• Erika S Kenney, M.D.
• Joanna Kenney, SWC
• Cathleen C Kenny, NP
• Kenosis Counseling, PLLC
• Kenosis Counseling, PLLC
• Michelle Kenrick, FNP
• Kenson Services Inc

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.