Organization Active NPI

Jennifer L. Kendall, DDS., Inc.

  • General Practice Dentistry
  • Chesapeake, OH
National Provider Identifier
1578624482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16079 Issued in OH
Legal business name
JENNIFER L. KENDALL, DDS., INC.
Practice address
650 3Rd Ave
Chesapeake, OH 45619-1039
Phone
(740) 867-3161
Fax
(740) 867-8561
NPI assigned
Dec 13, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Jennett Kay Foster
Title
Office Manager
Phone
(740) 867-3161

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

650 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-3161

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16079 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

650 3Rd Ave
Chesapeake, OH 45619-1039

Mailing address

650 3Rd Ave
Chesapeake, OH 45619-1039
Phone (740) 867-3161

Other names 1

NPPES NPI Registry
  • Kendall,York Dentistry Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578624482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191039",
            "telephone_number": "740-867-3161",
            "fax_number": "740-867-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191039",
            "telephone_number": "740-867-3161",
            "fax_number": "740-867-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. KENDALL, DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JENNETT",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-867-3161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall,York Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.