Travis L Kendall DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRAVIS L KENDALL DDS PLLC

Practice address

444 Forest SQ Ste E
Longview, TX 75605-4463

Phone

(903) 758-5551

Fax

(903) 758-5877

NPI assigned

Apr 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Travis Lane Kendall, DDS

Title

Dentist

Phone

(903) 758-5551

Specialties & licenses 2

Addresses

Other names 1

• Texas Sedation Dental & Implant Center Doing business as

Locations

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1124681564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ STE E",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-5551",
            "fax_number": "903-758-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ STE E",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-5551",
            "fax_number": "903-758-5877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 S Donnybrook Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014239",
            "country_code": "US",
            "telephone_number": "903-597-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAVIS L KENDALL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "903-758-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Sedation Dental & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Totalcare Comprehensive Home Health Supply
• Camille Townsend
• Traditions Health Care of Longview, LLC
• Traditions Hospice of Longview, LLC
• Transformed Mindz Counseling Services
• Allison McKnight Travis, MS, LPC
• Christopher Michael Travis, OTR
• Maria Trejo
• Mayra Trejo, LPC
• Troy W. Simmons DDS PC

• Dental Clinic/Center in Longview, TX
• Providers in Longview, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.