Kenneth Lee Drewel Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00003558 Issued in WA

Practice address

5701 Bedford St
Pasco, WA 99301-8214

Phone

(509) 547-0571

Fax

(509) 547-0572

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1720313471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BEDFORD ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018214",
            "telephone_number": "509-547-0571",
            "fax_number": "509-547-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BEDFORD ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018214",
            "telephone_number": "509-547-0571",
            "fax_number": "509-547-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWEL",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "00003558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Drywahl PLLC
• Dr L Brendt Park Inc
• Dr Mileski DDS IV PLLC
• Dr Spencer E Greer DDS PLLC (Mid Columbia Dental Pasco)
• Sean P Draney, PA-C
• Ryan Paul Duarte, M.A., PA-C
• Cheryl Renee Dunham, RN BSN
• Morgan D Eaton, MA, PT
• Janae Noelle Edmonds
• Educational Service District 123

• Dentist in Pasco, WA
• Providers in Pasco, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.