Karen Armstrong Kennedy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DNO11604 Issued in GA

Practice address

204 Smith St.
Lagrange, GA 30240

Phone

(706) 884-4254

Fax

(706) 884-2239

NPI assigned

Aug 19, 2006

Last updated

Apr 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Karen Armstrong Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• K Jackson DMD PC

  • General Practice Dentistry
  • Lagrange, GA
  • NPI 1952447153
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1437263878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SMITH ST.",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-884-4254",
            "fax_number": "706-884-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SMITH ST.",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-884-4254",
            "fax_number": "706-884-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAREN",
        "middle_name": "ARMSTRONG",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "11604",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DNO11604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "JACKSON",
            "middle_name": "ARMSTRONG",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shih Yin Anna Kao, M.D.
• Manish C Kataria, RPH
• Ethel Mae Kelley
• Cassie Jo Kelly, FNP
• Miriam Kelly, LPC
• John Herbert Kent Jr., DC
• Douglas Brent Kersey Jr., DMD
• Meredith Key, ED.S., LPC, NCC
• Kid Station Pediatrics P.C
• Kid's Zone Dentistry, LLC

• Dentist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.