Kenneth Grundset PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 04596 Issued in FL

Legal business name

KENNETH GRUNDSET PA

Practice address

9634 107TH Ave N
Largo, FL 33773-4503

Phone

(727) 851-6870

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Kenneth Grundest, DDS

Title

Owner

Phone

(727) 282-1970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1699185298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9634 107TH AVE N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734503",
            "telephone_number": "727-851-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 107TH AVE N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734503",
            "telephone_number": "727-851-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH GRUNDSET PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "GRUNDEST",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-282-1970",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 04596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Fitzgerald Kendall Jr., M.D.
• Elizabeth Corrine Kendrick, ARNP
• Tammy Kennedy Rice
• Jaleessa Kennedy, LMHC
• Victoria Ann Kennedy, PA-C
• Jessica Keshishian, MD
• William Thomas Keweshan, DO
• Keys2Health LLC
• Sandra Ariel Khabner, DMD
• Faseeh Uddin Khaja, M.D.

• Dental Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.