Robert M. Kennedy, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17182 Issued in MA

Legal business name

ROBERT M. KENNEDY, D.D.S., P.C.

Practice address

200 The Great Rd
Suite 243
Bedford, MA 01730-2711

Phone

(781) 275-0200

Fax

(781) 275-2837

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert M. Kennedy, D.D.S.NPI 1578635926

Title

Owner

Phone

(781) 275-0200

Specialties & licenses 1

Addresses

Other names 1

• Robert M. Kennedy, D.D.S. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Kennedy, DDS

  • General Practice Dentistry
  • Bedford, MA
  • NPI 1578635926
  NPD (past) Authorized official

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1255648994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 THE GREAT RD",
            "address_2": "SUITE 243",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302711",
            "telephone_number": "781-275-0200",
            "fax_number": "781-275-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THE GREAT RD",
            "address_2": "SUITE 243",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302711",
            "telephone_number": "781-275-0200",
            "fax_number": "781-275-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. KENNEDY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-275-0200",
        "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": "MA",
            "license": "17182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert M. Kennedy, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daniel Rinaldi, LMHC
• Mary Ellen Riordan, LICSW
• Jessica G Ristuccia, D.M.D.
• Donna R Rivera, PHARMD, MSC
• Jenny Patricia Rivillas-O'Neill, PMHNP
• Jesse Lewis Roberts
• Emily Robinson, FNP-BC
• Brittany M Rocca, PT, DPT
• Deirdre Roche
• Rockland Recovery Behavioral Health North

• General Practice Dentistry in Bedford, MA
• Providers in Bedford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.