Kennie Kwok DMD, Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

65162 Issued in CA

Legal business name

KENNIE KWOK DMD, INC

Doing business as

San Diego Periodontics & Implant Dentistry

Practice address

4060 4TH Ave Ste 303
San Diego, CA 92103-2120

Phone

(619) 543-0905

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kennie Kwok, DMDNPI 1912269945

Title

President

Phone

(619) 543-0905

Specialties & licenses 1

Addresses

Other names 1

• San Diego Periodontics & Implant Dentistry Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kennie Kwok, DMD

  • Periodontics
  • San Diego, CA
  • NPI 1912269945
  NPD (past) Authorized official
• Eric Driver, DDS

  • Periodontics
  • San Diego, CA
  • NPI 1497741672
  NPD (past)
• David Warren Richards, DDS, PHD

  • Periodontics
  • San Diego, CA
  • NPI 1285658203
  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1073966057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120",
            "telephone_number": "619-543-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNIE KWOK DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "KENNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-543-0905",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "65162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Periodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennewick Radiology Group, PC
• Kayla Kenney
• Rachel Laura Kenney
• Stephanie Catherine Kenney, PHARMD
• Wilma Jean Kenney, RN
• Kelsey Jean Kenniston
• Bre'Ann Caitlyn Kenny, M.A., AMFT
• Geves Seaton Kenny, M.D.
• Hannah F. Kenny, LCSW
• Kevin M Kenny, DDS

• Periodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.