Kennedy Family Dentistry, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

35625 Issued in CA

Legal business name

KENNEDY FAMILY DENTISTRY, INC

Practice address

1611 Executive CT Ste 200
Sacramento, CA 95864-2648

Phone

(916) 487-5160

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Monique Settle, OM

Title

Office Manager

Phone

(916) 487-5152

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bobby C. Kennedy, DDS. Former legal business name

Locations

Practitioners 1

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

• Bobby Carl Kennedy, D.D.S

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1699804492
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1407049612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 EXECUTIVE CT STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642648",
            "telephone_number": "916-487-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 EXECUTIVE CT STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642648",
            "telephone_number": "916-487-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SETTLE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-487-5152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "35625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bobby C. Kennedy, DDS.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daija Kendrick
• Tea Kendrick
• Jacquelyn Endera Kendricks, MHRS
• Denise Ruth Kendrix, M.A. CCC-SLP
• Laura Kenkel, M.D.
• Bobby Carl Kennedy, D.D.S
• Esther Ruth Kennedy, LCSW
• Jeffrey Kennedy, MD
• Jennifer Marie Kennedy, OTR/L
• Jill Schmidt Kennedy, MSW, LCSW

• Health Maintenance Organization in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.