Frank Kendrick, DMD. MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

07221 Issued in NC

Practice address

9625 Northcross Center CT Suite 101
Huntersville, NC 28078-7353

Phone

(704) 997-6431

Fax

(704) 997-9434

NPI assigned

Aug 25, 2006

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  dba UK Oral Health

  • General Practice Dentistry
  • Lexington, KY
  • NPI 1194852582
  NPD
• Dr Frank Kendrick DMD-Huntersville PA

  dba South Lake Pediatric Dentistry

  • Pediatric Dentistry
  • Huntersville, NC
  • NPI 1154673846
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1386752061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 NORTHCROSS CENTER CT SUITE 101",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787353",
            "telephone_number": "704-997-6431",
            "fax_number": "704-997-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 NORTHCROSS CENTER CT SUITE 101",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787353",
            "telephone_number": "704-997-6431",
            "fax_number": "704-997-9434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone Ste A201",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367353",
            "country_code": "US",
            "telephone_number": "859-323-6261",
            "fax_number": "859-323-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "FRANK",
        "credential": "DMD. MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7221",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7221",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "6460",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "07221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "9026Y",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902967",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kris Kawulok, MA, NCC, LPCA
• Dajen Runge Keefer Williams, PHARMD
• Keith a. Kye, DDS
• Lisa Christine Kelley, MA, LCMHCS
• Taylor Marie Kelly, DC
• Lila Kennedy
• Paige Nicole Keough
• Christofer Kepinski, PHARMD
• Amanda Kepple
• Richard Arden Kerecman, M.D.

• Pediatric Dentistry in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.