Individual provider Active NPI

Kenneth M Hamlett, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1295835379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10318 Issued in TX
Practice address
8100 Lomo Alto Dr
#110
Dallas, TX 75225-6530
Phone
(214) 363-9474
Fax
(214) 363-8749
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10318 TX Primary

Addresses

Primary practice location

8100 Lomo Alto Dr
#110
Dallas, TX 75225-6530

Mailing address

8100 Lomo Alto Dr
#110
Dallas, TX 75225-6530
Phone (214) 363-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150323000459 TX Order and Referring Only - DentistPractitioner - Dentist 5991022410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10318TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295835379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR",
            "address_2": "#110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256530",
            "telephone_number": "214-363-9474",
            "fax_number": "214-363-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR",
            "address_2": "#110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256530",
            "telephone_number": "214-363-9474",
            "fax_number": "214-363-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLETT",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.