Monica Kennard,D.D.S.,P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10780 Issued in MN

Legal business name

MONICA KENNARD,D.D.S.,P.A.

Practice address

250 Central Ave N
Suite 211
Wayzata, MN 55391-1208

Phone

(952) 475-3135

Fax

(952) 475-1936

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By 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

Dr. Monica A Kennard, D.D.S.

Title

Pediatric Dentist

Phone

(952) 475-3135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1083814206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 211",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911208",
            "telephone_number": "952-475-3135",
            "fax_number": "952-475-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 211",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911208",
            "telephone_number": "952-475-3135",
            "fax_number": "952-475-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA KENNARD,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "KENNARD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "952-475-3135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "10780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.