Individual provider Active NPI

Kennedy Sanders, DDS

  • General Practice Dentistry
  • Cockeysville, MD
National Provider Identifier
1093610875
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19004 Issued in MD
Practice address
109 Old Padonia Rd
Cockeysville, MD 21030-4917
Phone
(410) 560-1400
Fax
(410) 560-1400
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19004 MD Primary

Addresses

Primary practice location

109 Old Padonia Rd
Cockeysville, MD 21030-4917

Mailing address

109 Old Padonia Rd
Cockeysville, MD 21030-4917
Phone (410) 560-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1093610875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OLD PADONIA RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304917",
            "telephone_number": "410-560-1400",
            "fax_number": "410-560-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OLD PADONIA RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304917",
            "telephone_number": "410-560-1400",
            "fax_number": "410-560-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KENNEDY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "19004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.