Active NPI
Kent Cherry
- Dentist
- John Day, OR
National Provider Identifier
1326429911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10239
- Practice address
- 750 W Main St
John Day, OR 97845-1037 - Phone
- (888) 468-0022
- Fax
- (541) 504-3907
- NPI assigned
- Jun 9, 2015
- Last updated
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10239 | OR | Primary |
Addresses
Primary practice location
750 W Main St
John Day, OR 97845-1037
Mailing address
442 SW Umatilla Ave
Suite 200
Redmond, OR 97756-7039
Phone (541) 504-3900
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
| License | State | Type | Specialty |
|---|---|---|---|
| D10239 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1326429911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 SW UMATILLA AVE",
"address_2": "SUITE 200",
"city": "REDMOND",
"state": "OR",
"postal_code": "977567039",
"telephone_number": "541-504-3900",
"fax_number": "541-504-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W MAIN ST",
"city": "JOHN DAY",
"state": "OR",
"postal_code": "978451037",
"telephone_number": "888-468-0022",
"fax_number": "541-504-3907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "KENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in John Day, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.