Kenneth E Sykes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12704 Issued in TX

Practice address

1100 Bridgewood Dr
Suite 126
Fort Worth, TX 76112-0826

Phone

(817) 451-4911

Fax

(817) 451-6443

NPI assigned

Aug 4, 2006

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639187883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BRIDGEWOOD DR",
            "address_2": "SUITE 126",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761120826",
            "telephone_number": "817-451-4911",
            "fax_number": "817-451-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BRIDGEWOOD DR",
            "address_2": "SUITE 126",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761120826",
            "telephone_number": "817-451-4911",
            "fax_number": "817-451-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D12704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "D12704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waqar Syed, MD
• Sara Syeda, MD
• Sirajunnisa Syeda, P.A.
• Sykes Chiropractic PLLC
• Jada Sykes, RBT
• Kevin Carsten Sykes, D.C.
• Myranda Sykes
• Symetria Health of Texas, L.L.C.
• Symetria Health of Texas, LLC
• Debbie Symington, SLP

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.