Charles Edwin Kenner, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4947 Issued in KY

Practice address

7000 Houston Road
Building 300 Suite 35
Florence, KY 41042

Phone

(859) 371-0183

Fax

(859) 371-4959

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114012838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HOUSTON ROAD",
            "address_2": "BUILDING 300 SUITE 35",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-0183",
            "fax_number": "859-371-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 HOUSTON ROAD",
            "address_2": "BUILDING 300 SUITE 35",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-0183",
            "fax_number": "859-371-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Kelly
• Kathryn Miller Kelsay, APRN
• Adam Kelsey, LMT
• Kristin Dietz Kennedy, ARNP
• Wendy Kennedy
• Katherine Elizabeth Kenner, BCBA
• Kenneth F. Wallace
• Laura Cancilla Kenny, M.D.
• Kentucky CVS Pharmacy LLC (CVS Pharmacy #16557)
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy# 07648)

• General Practice Dentistry in Florence, KY
• Providers in Florence, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.