NPIMap

Organization Active NPI

Joe Keneson DDS Inc.

  • General Practice Dentistry
  • Silsbee, TX
National Provider Identifier
1144475971
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13471 Issued in TX
Legal business name
JOE KENESON DDS INC.
Practice address
1164 Hwy 327 E
Silsbee, TX 77656-4141
Phone
(409) 385-3651
Fax
(409) 385-9456
NPI assigned
Nov 20, 2008
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Dr. Joe Keneson, DDSNPI 1548372253
Title
President
Phone
(409) 385-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13471 TX Primary

Addresses

Primary practice location

1164 Hwy 327 E
Silsbee, TX 77656-4141

Mailing address

1164 Hwy 327 E
Silsbee, TX 77656-4141
Phone (409) 385-3651

Other identifiers 2

IdentifierTypeStateIssuer
090941801MedicaidTX
196407401MedicaidTX

National Provider Directory

National Provider Directory

Locations

1164 Highway 327 E
Silsbee, TX 77656
Phone (409) 385-3651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1144475971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 HWY 327 E",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776564141",
            "telephone_number": "409-385-3651",
            "fax_number": "409-385-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 HWY 327 E",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776564141",
            "telephone_number": "409-385-3651",
            "fax_number": "409-385-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE KENESON DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "KENESON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-385-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090941801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196407401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silsbee, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.