Organization Active NPI

Kenneth S Singleton DDS

  • Dentist
  • Eureka, CA
National Provider Identifier
1689862435
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25216 Issued in CA
Legal business name
KENNETH S SINGLETON DDS
Practice address
624 Harris St
Eureka, CA 95503-4448
Phone
(707) 442-5739
Fax
(707) 442-9013
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth S Singleton, DDSNPI 1821349648
Title
Dentist
Phone
(707) 442-5739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25216 CA Primary

Addresses

Primary practice location

624 Harris St
Eureka, CA 95503-4448

Mailing address

624 Harris St
Eureka, CA 95503-4448
Phone (707) 442-5739

National Provider Directory

National Provider Directory

Locations

624 Harris St
Eureka, CA 95503
Phone (707) 441-2051

Practitioners & affiliated clinicians

Practitioners 1

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": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1689862435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034448",
            "telephone_number": "707-442-5739",
            "fax_number": "707-442-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034448",
            "telephone_number": "707-442-5739",
            "fax_number": "707-442-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S SINGLETON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-442-5739",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.