J Edward Kendrick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012369 Issued in MO

Practice address

4605 Independence Ave
Kansas City, MO 64124-2927

Phone

(816) 231-3333

Fax

(816) 231-3379

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407858558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 INDEPENDENCE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242927",
            "telephone_number": "816-231-3333",
            "fax_number": "816-231-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 INDEPENDENCE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242927",
            "telephone_number": "816-231-3333",
            "fax_number": "816-231-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "J",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Kendall
• Jennifer Lee Kendall, MD
• Jonathan Andrew Kendall, M.D.
• Alyssa A Kendrick, NP
• Hayley Kendrick
• Ann B Keneipp, APRN
• Marla G Kennard, OD
• Annie Kenne Melong
• Treva Muire Kennedy-Pyers
• Brandan Kennedy, MD

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.