Kenneth Nelkin DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

5632 Issued in KS

Legal business name

KENNETH NELKIN DDS PA

Practice address

11755 W 112TH St
St 200
Overland Park, KS 66210

Phone

(913) 897-5653

NPI assigned

Sep 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Scott Nelkin, DDS

Title

Dentist

Phone

(913) 897-5653

Specialties & licenses 1

Addresses

Other names 1

• Kenneth Nelkin Other name

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639272214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 HEMLOCK ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-897-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 W 112TH ST",
            "address_2": "ST 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-897-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH NELKIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "913-897-5653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Nelkin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Michelle Kennedy, PTA
• Elizabeth Brownlee Kennedy, DPT
• Sarah M Kennedy
• Sheena Kennedy, CPNP
• Kenneth C Moyer (The Medicine Shoppe)
• John D. Kenney III, MD
• Mark Victor Kenney, PH.D.
• Megan Kenney
• Sarah Kensinger, PT, DPT, ATC
• Barry L Kentopp, PA

• Dentist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.