Kenneth Alan Joseph, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

028075 Issued in NY

Practice address

3 Center Hill Road
Monroe, NY 10950

Phone

(845) 783-1311

Fax

(845) 782-0825

NPI assigned

Apr 23, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Exceldent Dental of Monroe, LLP

  • General Practice Dentistry
  • Monroe, NY
  • NPI 1205118700
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1740408616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTER HILL RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504805",
            "telephone_number": "845-783-1311",
            "fax_number": "845-782-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTER HILL ROAD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-783-1311",
            "fax_number": "845-782-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Joseph John
• Jaclyn M Johnston
• Siobhan Johnston
• Beth Jan Jones-Post, RN, MT, ASHRM
• Sarah Jones, COTA
• Nicole Candise Joseph
• Steffanie Lindsell Jurgens, MSED
• Justin Sullivan PT PLLC
• Irving Kadesh, PH.D.
• Hadassah Janis Kahn, LMSW

• Dentist in Monroe, NY
• Providers in Monroe, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.