Kenworthy Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KENWORTHY DENTAL CORP

Practice address

730 Sunrise Ave
Ste 140
Roseville, CA 95661-4567

Phone

(916) 780-3900

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Ruth Kenworthy

Title

Ownee

Phone

(916) 780-3900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1265988620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-780-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-780-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWORTHY DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNEE",
        "authorized_official_telephone_number": "916-780-3900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kennedy, RBT
• Neal Kennedy, SUDRC
• Veronica Marie Kennedy, AMFT
• Kenneth L. Larson, PH.D., Inc.
• Kenric a. Snow DDS Inc.
• Ruth Kenworthy, D.D.S.
• Eliza Kern, AMFT
• Brittany Kerr, LCSW
• Macie Lynn Kerr, DMD
• Matthew Adam Kerr, D.P.T.

• Dentist in Roseville, CA
• Providers in Roseville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.