Kylene H Fernandez, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30019429 Issued in OH

Practice address

3663 Ridge Mill Dr
Suite 102
Hilliard, OH 43026-7799

Phone

(614) 527-1000

Fax

(614) 527-1000

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kylene H Fernandez DDS Ms LLC

  • Pediatric Dentistry
  • Hilliard, OH
  • NPI 1891558797
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467548099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR",
            "address_2": "SUITE 102",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-527-1000",
            "fax_number": "614-527-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR",
            "address_2": "SUITE 102",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-527-1000",
            "fax_number": "614-527-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KYLENE",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30019429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• FHHS, LLC
• FHS Hilliard, Inc.
• Holly Fiala, OTR/L
• Amie Fields, NP-C

• Pediatric Dentistry in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.