Donald Eric Kent, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

34133 Issued in CA

Practice address

856 Cypress Ave
Novato, CA 94947-3925

Phone

(415) 898-7390

Fax

(415) 898-7389

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Great Smile, Inc.

  • Dental Hygienist
  • Novato, CA
  • NPI 1659578227
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104951730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926A DIABLO AVE # 122",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474025",
            "telephone_number": "415-898-7390",
            "fax_number": "415-898-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 CYPRESS AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473925",
            "telephone_number": "415-898-7390",
            "fax_number": "415-898-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "DONALD",
        "middle_name": "ERIC",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "34133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G89980-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly C Kelly, MD
• Charlene Kohl Kelzer, MA
• Kenneth John Kelzer, MSW LCSW
• Leslie Kennedy, MFT TRAINEE
• Susan Kenny, MFT
• Katherine Kentfield-Kessner, NP
• Alan Kepner, MFT
• Susan Levinson Kessner, M.S.
• Joanne Kha, LAC
• Ghazal Khorrami, MD

• Dentist in Novato, CA
• Providers in Novato, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.