Kevin James Wendell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21181 Issued in MA

Practice address

40 Cumberland Ave
Suite 5
North Attleboro, MA 02760-4445

Phone

(508) 399-8800

Fax

(508) 388-7744

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin J Wendell DDS PC

  • Dental Clinic/Center
  • Westport, MA
  • NPI 1003199373
  Authorized official Same address or phone
• Unique Dental Center PC

  • Periodontics
  • North Attleboro, MA
  • NPI 1710901459
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659496529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061018",
            "telephone_number": "401-439-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CUMBERLAND AVE",
            "address_2": "SUITE 5",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604445",
            "telephone_number": "508-399-8800",
            "fax_number": "508-388-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #17612)
• Hazel Walker, LMFT
• Stephanie Lynn Weisz, MSW LLCSW
• Wellness on Wheels, PC
• Ryan John Paul Welter, MD
• Jillian Wesh
• Woonsocket Urgent Care PC (North Attleboro Urgent Care)
• Nicole Wright, LICSW
• Lauren Maria Zahra-Leblanc

• General Practice Dentistry in North Attleboro, MA
• Providers in North Attleboro, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.