James P Kennedy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1917217 Issued in IL

Practice address

9408 47TH St
Brookfield, IL 60513-2235

Phone

(708) 387-7755

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By 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

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063422392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 47TH ST",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 47TH ST",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132235",
            "telephone_number": "708-387-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1917217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lou Jourdan, DDS
• Julija Jovanovic
• Edelmira Kaltinger, DC
• Dijana Kasumovic, PHARMD
• Barbara Keck, D.N.
• Elizabeth M Klinge Arenas, MH, CCC-SLP
• Loredana Kratzer, LCPC
• Cassandra Lea Colucy Krcmar, LPC
• V R Kuchipudi, M.D.
• Anastacio F Ladao III, (RRT)(CT)

• General Practice Dentistry in Brookfield, IL
• Providers in Brookfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.