Kenfield Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENFIELD DENTAL GROUP LLC

Practice address

77 Fairview Ave
Spencer, IN 47460-1513

Phone

(812) 829-4886

NPI assigned

Feb 24, 2020

Last updated

Feb 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Kenfield, DDSNPI 1033237086

Title

President

Phone

(219) 213-8418

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Melissa Kenfield, DDS

  • General Practice Dentistry
  • Spencer, IN
  • NPI 1033237086
  NPD Authorized official
• Shane Lynn New, DDS

  • Dentist
  • Greenwood, IN
  • NPI 1134657737
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1730713280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FAIRVIEW AVE",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474601513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 FAIRVIEW AVE",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474601513",
            "telephone_number": "812-829-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENFIELD DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "KENFIELD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-213-8418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health Bloomington Inc
• Indiana University Health Southern Indiana Physicians, Inc
• Indiana University Health Southern Indiana Physicians, LLC
• Jennifer L. Heil, O.D., P.C.
• Trevor Keck, O.D.
• Melissa Kenfield, DDS
• Melissa Kohlman
• Brian Krieble, LMHC
• Kenin Krieger, PHD
• Kurt S. Petry OD, PC (Spencer Community Eyecare)

• General Practice Dentistry in Spencer, IN
• Providers in Spencer, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.