Active NPI
Kes PLLC
- Periodontics
- Edmond, OK
National Provider Identifier
1720815863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- KES PLLC
- Practice address
- 609 S. Kelly Ave.
Ste. a-1
Edmond, OK 73003 - Phone
- (405) 509-8932
- Fax
- (405) 531-0808
- NPI assigned
- Sep 13, 2024
- Last updated
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Blaire Esteniuk, DDS, MS
- Title
- Owner/Operator
- Phone
- (405) 509-8932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | NU | Primary |
Addresses
Primary practice location
609 S. Kelly Ave.
Ste. a-1
Edmond, OK 73003
Mailing address
609 S. Kelly Ave.
Ste. a-1
Edmond, OK 73003
Phone (405) 509-8932
National Provider Directory
National Provider DirectoryLocations
609 S Kelly Ave
Ste A1
Edmond, OK 73003
Phone (405) 340-3880
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1720815863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S. KELLY AVE.",
"address_2": "STE. A-1",
"city": "EDMOND",
"state": "OK",
"postal_code": "73003",
"telephone_number": "405-509-8932",
"fax_number": "405-531-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S. KELLY AVE.",
"address_2": "STE. A-1",
"city": "EDMOND",
"state": "OK",
"postal_code": "73003",
"telephone_number": "405-509-8932",
"fax_number": "405-531-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"status": "A",
"authorized_official_last_name": "ESTENIUK",
"authorized_official_first_name": "BLAIRE",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "405-509-8932",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.