Active NPI
Kenrick'S Dedicated Hospitalist Services
- Hospitalist Physician
- Dayton, OH
National Provider Identifier
1306493366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 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 DirectoryNPI 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.