Organization Active NPI

Jared S. Kenwood, DDS, PC

Doing business as Yardley Dental Care

  • Dental Clinic/Center
  • Yardley, PA
National Provider Identifier
1629716659
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JARED S. KENWOOD, DDS, PC
Doing business as
Yardley Dental Care
Practice address
301 Oxford Valley Rd Ste 404a
Yardley, PA 19067-7710
Phone
(215) 493-1616
NPI assigned
May 20, 2022
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Jared S Kenwood, DDSNPI 1174856108
Title
Owner/Dentist
Phone
(215) 493-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

301 Oxford Valley Rd Ste 404a
Yardley, PA 19067-7710

Mailing address

301 Oxford Valley Rd Ste 404a
Yardley, PA 19067-7710
Phone (215) 493-1616

Other identifiers 1

IdentifierTypeStateIssuer
35547MedicaidPA

Other names 1

  • Yardley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

301 Oxford Valley Rd
Ste 404A
Yardley, PA 19067
Phone (215) 321-7701

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1629716659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 404A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677710",
            "telephone_number": "215-493-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 404A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677710",
            "telephone_number": "215-493-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED S. KENWOOD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "KENWOOD",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "215-493-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35547",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yardley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.