Organization Active NPI

Kenrick'S Dedicated Hospitalist Services

  • Hospitalist Physician
  • Dayton, OH
National Provider Identifier
1306493366
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
KENRICK'S DEDICATED HOSPITALIST SERVICES
Practice address
707 S Edwin C Moses Blvd
Dayton, OH 45417-3462
Phone
(513) 508-8945
Fax
(513) 494-3072
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Kenrick Richardson, MD
Title
President
Phone
(513) 508-8945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

707 S Edwin C Moses Blvd
Dayton, OH 45417-3462

Mailing address

71 Vista Ridge Dr
South Lebanon, OH 45065-8755
Phone (513) 508-8945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1306493366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VISTA RIDGE DR",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450658755",
            "telephone_number": "513-508-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173462",
            "telephone_number": "513-508-8945",
            "fax_number": "513-494-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENRICK'S DEDICATED HOSPITALIST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KENRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-508-8945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.