Edward John Kenny, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

780 Lee St
Suite 104
Des Plaines, IL 60016-6459

Phone

(847) 827-1809

Fax

(847) 827-9956

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679642748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LEE ST",
            "address_2": "SUITE 104",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166459",
            "telephone_number": "847-827-1809",
            "fax_number": "847-827-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LEE ST",
            "address_2": "SUITE 104",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166459",
            "telephone_number": "847-827-1809",
            "fax_number": "847-827-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Keibler
• Raymond Peter Keichinger II, COTA/L
• Jackson Cole Kelly
• Sharon Kenmotsu, OTR/L
• Geri Kenneally, MS, CCC-SLP
• Lynette Kentgen, SLP
• Maria Kereakes
• Gary Kern, RPH
• Areej Ashraf Khan
• Ghufran S Khan

• Dentist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Dentist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.