Michael P. Kennedy, DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

36668 Issued in CA

Legal business name

MICHAEL P. KENNEDY, DDS, INC

Practice address

870 W Onstott Rd Ste B
Yuba City, CA 95991-3500

Phone

(530) 671-1209

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Kennedy

Title

Secretary

Phone

(530) 671-1209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1760514319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 W ONSTOTT RD STE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913500",
            "telephone_number": "530-671-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 W ONSTOTT RD STE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913500",
            "telephone_number": "530-671-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. KENNEDY, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "530-671-1209"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.