Organization Active NPI

Frank Kendrick DMD PA

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1467768580
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FRANK KENDRICK DMD PA
Doing business as
Eastfield Pediatric Dentistry & Orthodontics
Practice address
8631 Arbor Creek Dr Ste D3
Charlotte, NC 28269-0548
Phone
(704) 875-9075
Fax
(704) 875-9055
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. Frank Kendrick Jr., DMD
Title
Dentist & Owner
Phone
(704) 875-9075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8631 Arbor Creek Dr Ste D3
Charlotte, NC 28269-0548

Mailing address

8631 Arbor Creek Dr Ste D3
Charlotte, NC 28269-0548
Phone (704) 875-9075

Other identifiers 2

IdentifierTypeStateIssuer
1386752061OtherNCNPI TYPE 1
5902967MedicaidNC

Other names 1

  • Eastfield Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1467768580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 ARBOR CREEK DR STE D3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690548",
            "telephone_number": "704-875-9075",
            "fax_number": "704-875-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 ARBOR CREEK DR STE D3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690548",
            "telephone_number": "704-875-9075",
            "fax_number": "704-875-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK KENDRICK DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DENTIST & OWNER",
        "authorized_official_telephone_number": "704-875-9075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1386752061",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902967",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastfield Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.