Kenneth J. Barker, D.D.S P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019027297 Issued in IL

Legal business name

KENNETH J. BARKER, D.D.S P.C.

Practice address

3235 W Addison St
Suite B
Chicago, IL 60618-4328

Phone

(773) 451-9392

Fax

(773) 451-9398

NPI assigned

May 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Jeremy Barker, D.D.S.

Title

President

Phone

(773) 428-0157

Specialties & licenses 1

Addresses

Other names 1

• Clearly Cares Dental Doing business as

Locations

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1225322993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W NEWPORT AVE",
            "address_2": "APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572569",
            "telephone_number": "773-428-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 W ADDISON ST",
            "address_2": "SUITE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184328",
            "telephone_number": "773-451-9392",
            "fax_number": "773-451-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. BARKER, D.D.S P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-428-0157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearly Cares Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rana Kennelly, NP
• Brandi M Kenner-Bell, M.D.
• Dawn L Kenner I
• Kenneth a Cohen MD
• Kenneth Edwards
• Kenneth M Levitan MD SC
• Barbara Jean Kenney, APN
• Jayne Allyson Kenney, PSY.D.
• Kathleen Kenney, PHARMD
• Molly Kenney

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.