Cmkdds

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CMKDDS

Practice address

17721 Dallas Pkwy Ste 116
Dallas, TX 75287-7338

Phone

(469) 685-1700

Fax

(888) 491-6582

NPI assigned

Dec 8, 2017

Organization subpart

Yes

Parent organization

SIMPLE SLEEP SERVICESAs reported in NPPES

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

Authorized official

Name

Dr. Charles Michael Kenney, DDSNPI 1609016229

Title

Owner

Phone

(469) 685-1700

Specialties & licenses 1

Addresses

Part of

Simple Sleep Services

Locations

Practitioners 1

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

• Charles Michael Kenney, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1609016229
  NPD (past) Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1316452667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17721 DALLAS PKWY STE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877338",
            "telephone_number": "469-685-1700",
            "fax_number": "888-491-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17721 DALLAS PKWY STE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877338",
            "telephone_number": "469-685-1700",
            "fax_number": "888-491-6582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Sonterra Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584383",
            "country_code": "US",
            "telephone_number": "469-685-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 8th Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044140",
            "country_code": "US",
            "telephone_number": "469-685-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CMKDDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLE SLEEP SERVICES",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-685-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Clyde, PA-C
• Susan G. Clynes, LCSW
• Cman Surgical Associates
• Cmdpn Medical Group of Texas, P.a.
• Erin Cmerek, MSSW, LCSW
• CMP Dental Group, P.C.
• CNC-Dental
• Arianne Andrea M Co, CRNA
• Jessica Phi-Phung Co, PA-C
• Mark Allen Co, MD

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.