Organization Active NPI

Kenneth R Dority DO PA

  • Adult Medicine Physician
  • Dallas, TX
National Provider Identifier
1689847014
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
K0722 Issued in TX
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

Updated by the provider on Apr 7, 2008

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.