Active NPI
Kenneth William Volstad, D.D.S.
- Dentist
- West Palm Beach, FL
National Provider Identifier
1255500344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7035
- Practice address
- 9121 N Military TRL Ste 220
West Palm Beach, FL 33410-5988 - Phone
- (561) 626-5119
- NPI assigned
- Feb 22, 2008
- Last updated
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7035 | FL | Primary |
Addresses
Primary practice location
9121 N Military TRL Ste 220
West Palm Beach, FL 33410-5988
Mailing address
9121 North Military Trail #220
Palm Beach Gardens, FL 33418
Phone (561) 626-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7035 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1255500344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9121 NORTH MILITARY TRAIL #220",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33418",
"telephone_number": "561-626-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9121 N MILITARY TRL STE 220",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334105988",
"telephone_number": "561-626-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLSTAD",
"first_name": "KENNETH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "7035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.