Kenneth Garner, DDS, Inc, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5632 Issued in OK

Legal business name

KENNETH GARNER, DDS, INC, PC

Practice address

3150 E 41St St
Suite #100
Tulsa, OK 74105-3717

Phone

(918) 742-1480

Fax

(918) 742-1512

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Garner, D.D.S.

Title

President/Dentist

Phone

(918) 742-1480

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1205019825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST",
            "address_2": "SUITE #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053717",
            "telephone_number": "918-742-1480",
            "fax_number": "918-742-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST",
            "address_2": "SUITE #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053717",
            "telephone_number": "918-742-1480",
            "fax_number": "918-742-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH GARNER, DDS, INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "918-742-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002490 B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002490 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Ruth Kennedy, DO
• Joseph Christopher Kennedy, M.D.
• Phillip Kennedy
• Rachel Kennedy
• Veronica Lee Kennedy, FSP
• Kenneth R Trinidad, D.O., P.C.
• Kenneth R. Hill, O.D.
• Nicole Anastasia Kennetz
• Hannah Kenneweg, MS, CCC-SLP
• Michael Keith Kennison, LMSW

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.