Charles Kendall, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

61435 Issued in KS

Practice address

4830 Quail Crest PL
Lawrence, KS 66049-3838

Phone

(785) 843-8610

NPI assigned

Jun 20, 2018

Sex

Male

Sole proprietor

No

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 16, 2018 through Jul 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Charles R. Kendall, DDS LLC

  • Endodontics
  • Lenexa, KS
  • NPI 1780315648
  NPD Authorized official

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1144714338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 HAGAN ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162293",
            "telephone_number": "573-808-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 QUAIL CREST PL",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493838",
            "telephone_number": "785-843-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "61435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Keller, MD
• Allen K Kelley, D.D.S.
• Kelley, Heck P.a.
• Marshall Kelley, M.D.
• Ashley Kelsey, DPT
• Laura Elaine Kennedy, M.D.
• Kent E. Dobbins O.D. & Jacob W. Letourneau O.D., P.a.
• Timothy N Keogh, LMSW
• Alex Michelle Kerr, LMSW
• Katherine Kershner

• Endodontics in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Endodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.