NPIMap

Organization Active NPI

L. Blaine Kennington, DDS, PC

  • Dental Clinic/Center
  • Castle Rock, WA
National Provider Identifier
1306187836
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00009274 Issued in WA
Legal business name
L. BLAINE KENNINGTON, DDS, PC
Practice address
358 Front Ave NW
Castle Rock, WA 98611-8996
Phone
(360) 274-9100
Fax
(360) 274-8152
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Lester B Kennington, D.D.S.NPI 1942225024
Title
President
Phone
(360) 247-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00009274 WA Primary

Addresses

Primary practice location

358 Front Ave NW
Castle Rock, WA 98611-8996

Mailing address

358 Front Ave NW
Castle Rock, WA 98611-8996
Phone (360) 274-9100

National Provider Directory

National Provider Directory

Locations

358 Front Ave NW
Castle Rock, WA 98611
Phone (360) 274-9100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1306187836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 FRONT AVE NW",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986118996",
            "telephone_number": "360-274-9100",
            "fax_number": "360-274-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 FRONT AVE NW",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986118996",
            "telephone_number": "360-274-9100",
            "fax_number": "360-274-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. BLAINE KENNINGTON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "KENNINGTON",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-247-9100",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00009274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.