Active NPI
Kendrick Jordan Sawyers, DDS
- Dentist
- Fort Campbell, KY
National Provider Identifier
1699329854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11448
- Practice address
- 5979 Desert Storm Ave
Fort Campbell, KY 42223-5514 - Phone
- (270) 412-2787
- NPI assigned
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11448 | NC | Primary |
| Endodontics | 1223E0200X | 13091 | TN |
Addresses
Primary practice location
5979 Desert Storm Ave
Fort Campbell, KY 42223-5514
Mailing address
342 Crooked Creek LN
Hendersonville, TN 37075-6743
Phone (910) 849-0898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11448 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1699329854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 CROOKED CREEK LN",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370756743",
"telephone_number": "910-849-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 DESERT STORM AVE",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235514",
"telephone_number": "270-412-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWYERS",
"first_name": "KENDRICK",
"middle_name": "JORDAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-26",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "11448",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "13091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.