NPIMap

Organization Active NPI

Scott C Kennedy DDS LLC

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1063858884
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5183 Issued in KS
Legal business name
SCOTT C KENNEDY DDS LLC
Practice address
1107 SW Gage Blvd
Suite 100
Topeka, KS 66604-1892
Phone
(785) 271-7477
Fax
(785) 271-0155
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. Scott Clarence Kennedy, DDS
Title
Dentist
Phone
(785) 271-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5183 KS Primary

Addresses

Primary practice location

1107 SW Gage Blvd
Suite 100
Topeka, KS 66604-1892

Mailing address

1107 SW Gage Blvd
Suite 100
Topeka, KS 66604-1892
Phone (785) 271-7477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1063858884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041892",
            "telephone_number": "785-271-7477",
            "fax_number": "785-271-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041892",
            "telephone_number": "785-271-7477",
            "fax_number": "785-271-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C KENNEDY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "785-271-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.