Kenneth Linc Hancock, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009243 Issued in WA

Practice address

3240 14TH Ave NW
Olympia, WA 98502-8509

Phone

(360) 866-7669

Fax

(360) 866-9115

NPI assigned

Jul 24, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenneth Hancock DDS, PLLC

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1609459346
  NPD Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1457551897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 14TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028509",
            "telephone_number": "360-866-7669",
            "fax_number": "360-866-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 14TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028509",
            "telephone_number": "360-866-7669",
            "fax_number": "360-866-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "KENNETH",
        "middle_name": "LINC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Hammett
• Cindi Hammond
• Jordyn Hammond, PA-C
• Lorenna Maylee Hammons
• Heather Hancock
• Hand in Hand Behavioral Consulting LLC
• Hand Therapy Specialist, LLC
• Hand Therapy Specialist, LLC
• Bryelle Hand, ARNP
• Hands for Healing

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.