Organization Active NPI

Kennedy Upperman Family Dentistry and Orthodontics LLC

  • Dental Clinic/Center
  • Chillicothe, OH
National Provider Identifier
1093350084
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KENNEDY UPPERMAN FAMILY DENTISTRY AND ORTHODONTICS LLC
Practice address
624 Central Ctr
Chillicothe, OH 45601-2248
Phone
(740) 773-4166
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Authorized official

Name
Allison Kennedy
Title
Member
Phone
(740) 701-8171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

624 Central Ctr
Chillicothe, OH 45601-2248

Mailing address

624 Central Ctr
Chillicothe, OH 45601-2248
Phone (740) 773-4166

National Provider Directory

National Provider Directory

Locations

624 Central Ctr
Chillicothe, OH 45601
Phone (740) 773-4166

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578787200000",
    "number": "1093350084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-773-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-773-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY UPPERMAN FAMILY DENTISTRY AND ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-701-8171"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; 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.