Individual provider Active NPI

Bryce William Kinard, DMD

  • Pediatric Dentistry
  • Ventura, CA
National Provider Identifier
1306406764
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
108043 Issued in CA
Practice address
801 S Victoria Ave Ste 201
Ventura, CA 93003-5371
Phone
(805) 665-3925
Fax
(805) 665-3926
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7230 NV
Pediatric Dentistry 1223P0221X 108043 CA Primary

Addresses

Primary practice location

801 S Victoria Ave Ste 201
Ventura, CA 93003-5371

Mailing address

379 Court Ave
Ventura, CA 93003-1741
Phone (402) 850-5203

Other practice location 1

4035 S Durango Dr Ste 103
Las Vegas, NV 89147-4162
Phone (702) 843-0921

Other practice location 2

4080 Loma Vista Rd Ste C
Ventura, CA 93003-1811
Phone (805) 643-4726

Other practice location 3

15 E Arrellaga St Ste 4
Santa Barbara, CA 93101-2533
Phone (805) 963-4404

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http://www.sbpediatricdentists.com/ Direct
CONNECT URL www.drkinard.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108043CAMDMarriage & Family Therapist
7230NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kinard DMD Inc. CurrentSince Feb 4, 2024 Accepting new patients

Locations

801 S Victoria Ave
Ste 201
Ventura, CA 93003
Phone (805) 656-9689

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1306406764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 COURT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031741",
            "telephone_number": "402-850-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S VICTORIA AVE STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035371",
            "telephone_number": "805-665-3925",
            "fax_number": "805-665-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 S Durango Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891474162",
            "country_code": "US",
            "telephone_number": "702-843-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4080 Loma Vista Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031811",
            "country_code": "US",
            "telephone_number": "805-643-4726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E Arrellaga St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012533",
            "country_code": "US",
            "telephone_number": "805-963-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINARD",
        "first_name": "BRYCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7230",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "108043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.sbpediatricdentists.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 E Arrellaga St Ste 4",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931012533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drkinard.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 S Victoria Ave Ste 201",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930035371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.