Kimanh Kennelly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

201957 Issued in CO

Practice address

12999 W Bowles Dr
Littleton, CO 80127-4641

Phone

(303) 989-9010

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Richard L. Harvey, D.D.S., PLLC

  dba Summit Family Dentistry

  • Dentist
  • Littleton, CO
  • NPI 1992114763
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1760770143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 S GENEVA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314733",
            "telephone_number": "585-899-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12999 W BOWLES DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274641",
            "telephone_number": "303-989-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "KIMANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055527",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica J Kenerson, M.D.
• Luann Joan Kenfield
• Suzanne M. Kenneally, PSY.D.
• Aimee Kennedy, MS,RD
• Christina Marie Kennedy
• Donna J Kenney
• Amie Kern, MS, ATC
• Meagan Brittany Kern
• Tanya M Kern, MD
• Amy Marie Kerns, PA-C

• General Practice Dentistry in Littleton, CO
• Providers in Littleton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.