Kenneth H Titel DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MA18572 Issued in MA

Legal business name

KENNETH H TITEL DMD PC

Practice address

101 Brooksby Village Dr
Peabody, MA 01960-1448

Phone

(978) 536-7909

Fax

(978) 536-7911

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Harvey Titel, DMD

Title

Owner

Phone

(978) 536-7909

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1477755536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROOKSBY VILLAGE DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-536-7909",
            "fax_number": "978-536-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROOKSBY VILLAGE DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601448",
            "telephone_number": "978-536-7909",
            "fax_number": "978-536-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H TITEL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "TITEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-536-7909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA18572",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA18572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Linda Keene
• Emileah Kelley
• Kerri-Anne V Kelley, PTA
• Kevin Michael Kelley, PA-C
• Natalie A Kendall, PA-C
• Christen Jean Kenrick, O.D.
• Ann Kent-Gasiorowski, O.D.
• Sumra Shahin Khan, D.M.D.
• Maha Mi Khodeir, MD
• Sevda Sahra Kilic

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.