Kandon Bennett

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA19602 Issued in TX

Practice address

224 E 2ND St
Dumas, TX 79029-3808

Phone

(806) 935-7171

NPI assigned

Jun 30, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Dumas, TX, CCN 451386

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Moore County Hospital District

  dba Memorial Hospital

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Medicare reassignment Care Compare group NPD
• Moore County Hospital District

  dba Moore County Family Health Clinic

  • Rural Health Clinic/Center
  • Dumas, TX
  • NPI 1336537661
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Moore County Hospital District

  dba Memorial Hospital

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Care Compare affiliation

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1609765098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763650405",
            "telephone_number": "940-631-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 2ND ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293808",
            "telephone_number": "806-935-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA19602",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Mohammed Alshabeeb, DMD
• Aoms Dental Group, PLLC
• Josef Aldrin Cruz Apolinario, MD
• Ralph Andrei Apolinario, MD
• Turhan I Baykan
• John Eric Boggs, DC
• Adriana Bonilla
• Bonner Family Dentistry, PLLC
• David Mal Bonner, DDS
• Reagan Allen Bonner, D.D.S.

• Surgical Physician Assistant in Dumas, TX
• Providers in Dumas, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.