Patricia A Kennedy Hingerton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043832 Issued in NY

Practice address

1036 W Jericho Tpke
Smithtown, NY 11787-3208

Phone

(631) 543-4433

Fax

(631) 543-2540

NPI assigned

May 16, 2011

Last updated

May 16, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1265725881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873208",
            "telephone_number": "631-543-4433",
            "fax_number": "631-543-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873208",
            "telephone_number": "631-543-4433",
            "fax_number": "631-543-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY HINGERTON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Jane Kelly, LCSW
• John Peter Kelly, PH.D.
• Matthew Kelly, DPT
• Melinda Kelly, LPN
• Silas W. Kelly, LMSW
• Amy Kennedy, PT
• Courtney Kennedy, DO
• David B Kennedy, PA
• Shannon Kennedy
• Evan Kessler, MD

• General Practice Dentistry in Smithtown, NY
• Providers in Smithtown, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.