Kaitlin Kennedy, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

30597 Issued in CA

Practice address

29861 Santa Margarita Pkwy Ste 200
Rancho Santa Margarita, CA 92688-3624

Phone

(714) 709-1900

NPI assigned

Jul 6, 2021

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

• Katie Kennedy Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1205407772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24011 LINDLEY ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913716",
            "telephone_number": "916-532-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29861 SANTA MARGARITA PKWY STE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883624",
            "telephone_number": "714-709-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAITLIN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "30597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.arboursdentistry.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "29861 Santa Margarita Pkwy Ste 200",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926883624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KENNEDY",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Kayvanfar
• Kenneth A Kazenelson, M.D.
• Hallie Keatley, DPT
• Julie Nadine Keck, PHD
• Alexa Kennedy, OTR/L
• Jessie Kensey
• Kidiatrics Medical Group, Inc.
• Saemin Kim
• Garrett King, DDS
• Juliet Noel King

• Dental Hygienist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.