Kenneth Kero, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3100-504 Issued in VT

Practice address

1128 Williston Rd
South Burlington, VT 05403-5718

Phone

(802) 658-5840

Fax

(802) 658-5838

NPI assigned

Oct 12, 2007

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1780872903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 WILLISTON RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035718",
            "telephone_number": "802-658-5840",
            "fax_number": "802-658-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 WILLISTON RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035718",
            "telephone_number": "802-658-5840",
            "fax_number": "802-658-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERO",
        "first_name": "KENNETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "3100-504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara C Kennedy, MD
• Karen D Kennedy, PT
• Kathryn Kennedy, DC
• Edward F. Kent Jr., MD
• Paul Francis Kenworthy, DMD
• Diane Pamela Kerr, RN BSN
• Alexandria Kerrigan, LICSW
• Kevin Nielsen Counseling
• Seohyun Kim
• Kimberly Evans Rd (Nourish)

• General Practice Dentistry in South Burlington, VT
• Providers in South Burlington, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.