Henken & Kennedy Orthodontic Dental Group

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

51346 Issued in CA

Legal business name

HENKEN & KENNEDY ORTHODONTIC DENTAL GROUP

Practice address

1171 Puerta del Sol
Suite B
San Clemente, CA 92673-6343

Phone

(949) 661-3336

Fax

(949) 366-0094

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Kennedy, DDS, MS

Title

Partner

Phone

(949) 661-3336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edmond Herbert Henken, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Clemente, CA
  • NPI 1528183316
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1255584280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 PUERTA DEL SOL",
            "address_2": "SUITE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736343",
            "telephone_number": "949-661-3336",
            "fax_number": "949-366-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 PUERTA DEL SOL",
            "address_2": "SUITE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736343",
            "telephone_number": "949-661-3336",
            "fax_number": "949-366-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENKEN & KENNEDY ORTHODONTIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-661-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Perspective Therapy
• Austin Hedani, PT, DPT
• Makenzie Alyce Heisdorf, DPT
• Ashley Heller, PT
• Madeleine Hendricks
• Edmond Herbert Henken, DDS, MS
• Ruth Figueira Herdy, NP
• Kirsten R. Hertzler, DPT
• Debra Hetschel
• Irene Marie Hicks, CATC

• Orthodontics and Dentofacial Orthopedics Dentistry in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.