Active NPI
Kendrick Heywood, M.D.
- Health Service Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1326465287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- ME125373
- Practice address
- 3708 N Ocean Blvd
Fort Lauderdale, FL 33308-6451 - Phone
- (954) 909-4998
- NPI assigned
- Mar 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | ME125373 | FL | Primary |
Addresses
Primary practice location
3708 N Ocean Blvd
Fort Lauderdale, FL 33308-6451
Mailing address
2920 NE 207TH St Ste 901
Miami, FL 33180-1444
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME125373 | FL | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1326465287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 NE 207TH ST STE 901",
"city": "MIAMI",
"state": "FL",
"postal_code": "331801444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 N OCEAN BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333086451",
"telephone_number": "954-909-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYWOOD",
"first_name": "KENDRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "ME125373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.