Kenley Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KENLEY DENTAL

Practice address

281 N Main St Ste 201
Wasilla, AK 99654-7046

Phone

(435) 757-6699

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Calvin Matthew Kenley, DMD

Title

Doctor

Phone

(435) 757-6699

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1467087320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N PALMER FISHHOOK RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458317",
            "telephone_number": "435-757-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N MAIN ST STE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547046",
            "telephone_number": "435-757-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "KENLEY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "435-757-6699",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Kelly
• Ellen Christine Kelsey, M.S., CCC-SLP
• Elaina L Kemp
• Heather Kemp, RN
• Sabrina Kendall, LMT
• Joel William Kenworthy
• Season Kepfer
• Jenna Kern
• Celena Kerns
• Mary Kerns

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.