Kenneth Hancock DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENNETH HANCOCK DDS, PLLC

Practice address

1401 4TH Ave E Ste 100
Olympia, WA 98506-4484

Phone

(360) 753-7388

Fax

(360) 753-3553

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Kenneth L Hancock, DDSNPI 1457551897

Title

Dentist/Owner

Phone

(360) 753-7388

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Kenneth Linc Hancock, D.D.S.

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1457551897
  NPD Authorized official
• Jin S Miao, DMD

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1336291988
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1609459346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 4TH AVE E STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064484",
            "telephone_number": "360-753-7388",
            "fax_number": "360-753-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 4TH AVE E STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064484",
            "telephone_number": "360-753-7388",
            "fax_number": "360-753-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH HANCOCK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "360-753-7388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irisa Kennedy
• Nancy J. Kennedy, O.D.
• Richard P Kennedy, MD
• Vaira Kennedy
• Kenneth D. Common, O.D., P.S.
• Mitchel V Kent
• Jennifer Tracy Kenworthy
• Stephen Bonney Kern, D.M.D.
• Kerry J Dyer Lac PLLC
• Fran Kersch, PT

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.