Daniel Bernard Kennedy, DHAT

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

7300 Klawock Hollis Highway
Klawock, AK 99925

Phone

(907) 755-4990

Fax

(907) 755-4811

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Searhc

  • Dental Assistant
  • Klawock, AK
  • NPI 1053695247
  NPD (past)

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1609133032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "999250069",
            "telephone_number": "907-755-4990",
            "fax_number": "907-755-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 KLAWOCK HOLLIS HIGHWAY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4990",
            "fax_number": "907-755-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DANIEL",
        "middle_name": "BERNARD",
        "credential": "DHAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH AIDE CERTIFICATION BOARD - FEDERAL CERTIFICATION",
            "identifier": "06-031-DHAT",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Elizabeth Heppe
• Diane Ella Hill, PA-C
• Chelsie Dawn Hobart, PDHA I
• Tammy Jackson
• Ellen Lorraine Kemper, M.D.
• Brenda Leask
• Eva Maloney
• Victoria Mann, RN
• Felicia McAuley
• Rebecca Moots, RN

• Other Technician in Klawock, AK
• Providers in Klawock, AK by specialty
• Other Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.