Kinyatta Bennett, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

356410 Issued in MS

Practice address

13179 Three Rivers Rd
Gulfport, MS 39503-4944

Phone

(228) 832-1000

NPI assigned

Feb 2, 2011

Last updated

Nov 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kinyatta Magee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Smiles Family Dentistry of Pascagoula

  dba Healthy Smiles Family Dentistry

  • General Practice Dentistry
  • Pascagoula, MS
  • NPI 1659093250
  NPD Authorized official
• Healthy Smiles Family Dentistry

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1427456144
  Authorized official Same address or phone

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1174829501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13179 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034944",
            "telephone_number": "228-832-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13179 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034944",
            "telephone_number": "228-832-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KINYATTA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "356410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINYATTA",
            "last_name": "MAGEE",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Blake Benefield, CRNA
• Brenda Wakham Bennett, CFNP
• Emily Bennett
• Jeffrey L Bennett, LCSW
• Jordan Bennett
• Robert Fortier Bensen, M.D.,N.D.,CCN
• Ashley Nicole Benson
• Caroline Benvenutti, SLP
• Brad Z. Berger, M.D.
• William J. Berglind, MD

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.