Paul Kenworthy DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

000016975 Issued in VT

Legal business name

PAUL KENWORTHY DMD, PC

Practice address

4 Kellogg Rd
Essex JCT, VT 05452-2815

Phone

(802) 879-5151

Fax

(866) 561-8426

NPI assigned

Feb 3, 2014

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kenworthy, D.M.D.

Title

Dentist/Owner

Phone

(802) 879-5151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1124441720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KELLOGG RD",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054522815",
            "telephone_number": "802-879-5151",
            "fax_number": "866-561-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KELLOGG RD",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054522815",
            "telephone_number": "802-879-5151",
            "fax_number": "866-561-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KENWORTHY DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "802-879-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VT",
            "license": "000016975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Essex JCT, VT
• Providers in Essex JCT, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.