NPIMap

Organization Active NPI

Marvin H. Kendrick, MD, PC

  • Specialist
  • Concord, MA
National Provider Identifier
1548465818
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40639 Issued in MA
Legal business name
MARVIN H. KENDRICK, MD, PC
Practice address
131 Old Road to 9 Acre Cor Ste 800
Concord, MA 01742-4162
Phone
(978) 369-7752
Fax
(978) 369-5706
NPI assigned
Jun 18, 2007
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Marvin H Kendrick Jr., MD
Title
Owner
Phone
(978) 369-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 40639 MA Primary

Addresses

Primary practice location

131 Old Road to 9 Acre Cor Ste 800
Concord, MA 01742-4162

Mailing address

131 Old Road to 9 Acre Cor Ste 800
Concord, MA 01742-4162
Phone (978) 369-7752

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 800
Concord, MA 01742
Phone (978) 369-7752

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1548465818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR STE 800",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424162",
            "telephone_number": "978-369-7752",
            "fax_number": "978-369-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR STE 800",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424162",
            "telephone_number": "978-369-7752",
            "fax_number": "978-369-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN H. KENDRICK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-369-7752",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "40639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.