Joshua Michael Kennedy, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1594 Issued in AK

Practice address

625 E 34TH Ave Ste 301
Anchorage, AK 99503-4154

Phone

(907) 277-5684

Fax

(907) 277-5694

NPI assigned

Dec 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1376941260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 34TH AVE STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034154",
            "telephone_number": "907-277-5684",
            "fax_number": "907-277-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 34TH AVE STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034154",
            "telephone_number": "907-277-5684",
            "fax_number": "907-277-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Nathalie Kendall
• Emma Joyce Kenna, DPT
• Skyler Kenna, PA-C
• Benjamin L Kennah, PA-C
• Ekaterina Kennedy
• Kerry D Kennedy, DDS
• Pamela Ann Kennedy, M.S.
• Roisin N Kennedy, DC
• Alison A Kennen, MS
• Kenneth R Pervier, MD, LLC

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.