Sofia Kennel, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60567256 Issued in WA

Practice address

14411 Ambaum Blvd SW Ste B
Burien, WA 98166-1423

Phone

(206) 246-4559

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kennel and Kennel, PLLC

  • Dental Clinic/Center
  • Burien, WA
  • NPI 1053022798
  NPD Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1770966871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 AMBAUM BLVD SW STE B",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661423",
            "telephone_number": "206-246-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 AMBAUM BLVD SW STE B",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661423",
            "telephone_number": "206-246-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEL",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010360",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60567256",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60567256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temesgen Kenea
• Scott C Kennard, M.D.
• Sandra J. Kennedy, A.R.N.P.
• Kennel and Kennel, PLLC
• Scott Kennel, D.D.S.
• Michael M Kennelly, M.D.
• Kenner and Kenner PLLC
• William Clinton Kenner V, DDS
• William Clinton Kenner IV, DDS
• Kent N. Kreisman, M.D.

• Pediatric Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.