Kelly D Bridenstein, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

KS6672 Issued in KS

Practice address

8650 Candlelight LN
Suite 1
Lenexa, KS 66215

Phone

(913) 631-2677

Fax

(913) 631-3534

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• GPS Smiles Dental Care LLC

  dba Perfect Smiles Dental Care

  • Dental Clinic/Center
  • Lenexa, KS
  • NPI 1861143463
  NPD (past)
• Perfect Smiles Dental Care

  • Dentist
  • Lenexa, KS
  • NPI 1720058993
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1528245487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 CANDLELIGHT LN",
            "address_2": "SUITE 1",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-631-2677",
            "fax_number": "913-631-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 CANDLELIGHT LN",
            "address_2": "SUITE 1",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-631-2677",
            "fax_number": "913-631-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDENSTEIN",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS6672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Breckenridge, DPT
• Brenda Casey Chiropractic PA
• Samuel Brethauer, ATC
• Jenny Lynn Brewer, MAMHC
• Dana Caryl Brewington, MD
• Bridge Hill Eye, LLC
• Caitlin Brigham, PHARMD
• Craig William Briscoe, PTA
• Brooke Michelle Brite, TLMFT
• Dara Britton

• General Practice Dentistry in Lenexa, KS
• Providers in Lenexa, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.