James Michael Kennedy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7630 Issued in CO

Practice address

1190 Bookcliff Ave
#101
Grand Junction, CO 81501-8133

Phone

(970) 242-1900

Fax

(970) 242-1988

NPI assigned

Oct 10, 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

Medicare fee-for-service enrollment

Enrolled in CO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James M. Kennedy, D.D.S., P.C.

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1649411786
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659468510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "address_2": "#101",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-242-1900",
            "fax_number": "970-242-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "address_2": "#101",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-242-1900",
            "fax_number": "970-242-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kelty
• Sheri Kembel, FNP-C
• Leisel Maria Kemp, B.A.
• Glenn Ross Kempeers, MD
• Barbara L Kennedy, LCSW
• Jennifer Elizabeth Kennedy, MD
• Mark Allen Kennedy
• Kenneth C. Lewis MD,LLC
• Kenneth C. Lewis MD,LLC
• Kelsey Lee Kerton, D.O.

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• 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.