Jeffrey R Kennedy DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY R KENNEDY DDS PA

Practice address

123 Franklin Street
Suite 201
Chapel Hill, NC 27516

Phone

(919) 967-9291

Fax

(919) 942-4446

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey R Kennedy, DDS

Title

President Owner

Phone

(919) 967-9291

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kennedy Dental Group Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard W Wagner Jr., DMD

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1043470214
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780607812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN STREET",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27516",
            "telephone_number": "919-967-9291",
            "fax_number": "919-942-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN STREET",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27516",
            "telephone_number": "919-967-9291",
            "fax_number": "919-942-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R KENNEDY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "919-967-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0137N",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902KF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Raoul Jeanmenne, M.D.
• Carmeli Jeannot
• Noel Jeansonne, MD
• Carey Jean Jefferson, RN, CNM
• Jeffrey C. West, DMD, PA
• Jeffrey W Furman MD PLLC
• Richard Tolson Jeffrey, CPO
• Jared Jeffries, M.D.
• Samantha Jemiolo, PNP
• John C Jennette, MD

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

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