FCD Smiles, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FCD SMILES, PC

Doing business as

Fremont Children's Dentistry

Practice address

1947 E Military Ave
Fremont, NE 68025-5467

Phone

(402) 727-8700

Fax

(402) 727-8705

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Patrick McKenna, DDSNPI 1295185619

Title

President

Phone

(402) 366-8141

Specialties & licenses 1

Addresses

Other names 1

• Fremont Children's Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Patrick McKenna, D.D.S.

  • Pediatric Dentistry
  • Fremont, NE
  • NPI 1295185619
  NPD Authorized official

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1720749120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255467",
            "telephone_number": "402-727-8700",
            "fax_number": "402-727-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255467",
            "telephone_number": "402-727-8700",
            "fax_number": "402-727-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCD SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-366-8141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family First Dental Associates of West Point, P.C. (Family 1st Dental of Fremont)
• Family First Dentalassocciates of West Point, P.C. (Family First Dental of Fremont -2)
• Family Transit LLC
• Naiyah Rae Farmer
• Tammy Jean Fausset, PTA
• Mariah L Fein
• Gerald C Felt, MD
• Stacie Kendra Felton, PLMHP
• Christopher Ferdinand, AS HUMAN SERVICES
• Brianne M Fergus, MS, CCC-SLP

• Pediatric Dentistry in Fremont, NE
• Providers in Fremont, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.