Active NPI
Kenneth Arthur Kehew, DDS
- Dentist
- Middletown, RI
National Provider Identifier
1104819549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2110
- Practice address
- 74 Valley Rd
Middletown, RI 02842-5237 - Phone
- (401) 847-4570
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2110 | RI | Primary |
Addresses
Primary practice location
74 Valley Rd
Middletown, RI 02842-5237
Mailing address
74 Valley Rd
Middletown, RI 02842-5237
Phone (401) 847-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190603001955 | RI | Practitioner - Dentist | 5193030419 | Practice locations: Middletown, RI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2110 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1104819549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 VALLEY RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425237",
"telephone_number": "401-847-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 VALLEY RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425237",
"telephone_number": "401-847-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHEW",
"first_name": "KENNETH",
"middle_name": "ARTHUR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "2110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.