Kenneth J. Sheckler, D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7045 Issued in IA

Legal business name

KENNETH J. SHECKLER, D.D.S.,P.C.

Practice address

703 N Main St
Suite a
Charles City, IA 50616-2126

Phone

(641) 228-2354

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth James Sheckler, D.D.S.NPI 1740321751

Title

President

Phone

(641) 228-2354

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kenneth James Sheckler, D.D.S.

  • General Practice Dentistry
  • Charles City, IA
  • NPI 1740321751
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417075615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST",
            "address_2": "SUITE A",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162126",
            "telephone_number": "641-228-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST",
            "address_2": "SUITE A",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162126",
            "telephone_number": "641-228-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. SHECKLER, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHECKLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-228-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144527",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Sue Jepperson, TCADC
• Lorne Allen Johnson, PSYD
• Thomas Joseph Kafka, MD
• James Matthew Keane, TCADC
• Kayla Anne Kellogg, DNP
• Kevin Kimm DO,PC
• Douglas D Klinkel, DC
• Bret Alan Kruthoff, PT
• Troy Allen Loeckle, PT, RVT, RCP
• Val Owen Lyons, MD

• General Practice Dentistry in Charles City, IA
• Providers in Charles City, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.