Active NPI
Kenneth R Dority DO PA
- Adult Medicine Physician
- Dallas, TX
National Provider Identifier
1689847014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- K0722
- Legal business name
- KENNETH R DORITY DO PA
- Practice address
- 8414 Flower Meadow Dr
Dallas, TX 75243-7424 - Phone
- (214) 349-7440
- NPI assigned
- Apr 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Dority, DO
- Title
- President/ Physician
- Phone
- (214) 349-7440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | K0722 | TX | Primary |
Addresses
Primary practice location
8414 Flower Meadow Dr
Dallas, TX 75243-7424
Mailing address
8414 Flower Meadow Dr
Dallas, TX 75243-7424
Phone (214) 349-7440
Other names 1
- Occupational Health Source
National Provider Directory
National Provider DirectoryLocations
2225 W Parker Rd
Plano, TX 75023
Phone (214) 324-9400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1134179385
-
- Family Medicine Physician
- Dallas, TX
- NPI 1720039274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1689847014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8414 FLOWER MEADOW DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752437424",
"telephone_number": "214-349-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8414 FLOWER MEADOW DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752437424",
"telephone_number": "214-349-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH R DORITY DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-07",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "DORITY",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT/ PHYSICIAN",
"authorized_official_telephone_number": "214-349-7440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "K0722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Occupational Health Source",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.