Active NPI
William D Kenfield DDS LLC
- General Practice Dentistry
- Spencer, IN
National Provider Identifier
1447501358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12007873
- Legal business name
- WILLIAM D KENFIELD DDS LLC
- Practice address
- 77 Fairview Ave
Spencer, IN 47460-1513 - Phone
- (812) 829-4886
- Fax
- (812) 829-4686
- NPI assigned
- Oct 2, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. William D Kenfield, DDS LLC
- Title
- Member
- Phone
- (812) 829-4886
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Greenwood, IN
- NPI 1134657737
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12007873 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
77 Fairview Ave
Spencer, IN 47460-1513
Mailing address
77 Fairview Ave
Spencer, IN 47460-1513
Phone (812) 829-4886
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100195260A | Medicaid | IN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2012.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349136000000",
"number": "1447501358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 FAIRVIEW AVE",
"city": "SPENCER",
"state": "IN",
"postal_code": "474601513",
"telephone_number": "812-829-4886",
"fax_number": "812-829-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 FAIRVIEW AVE",
"city": "SPENCER",
"state": "IN",
"postal_code": "474601513",
"telephone_number": "812-829-4886",
"fax_number": "812-829-4686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM D KENFIELD DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A",
"authorized_official_last_name": "KENFIELD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "812-829-4886",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS LLC"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12007873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100195260A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.