Organization Active NPI

Chris W. Kennaugh D.D.S.,P.a.

  • General Practice Dentistry
  • Port Arthur, TX
National Provider Identifier
1801951595
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10715 Issued in TX
Legal business name
CHRIS W. KENNAUGH D.D.S.,P.A.
Practice address
3549 39TH St
Port Arthur, TX 77642-4331
Phone
(409) 982-2271
Fax
(409) 982-3454
NPI assigned
Dec 24, 2006
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Chris W. Kennaugh, D.D.S.NPI 1508287749
Title
Owner
Phone
(409) 982-2271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10715 TX Primary

Addresses

Primary practice location

3549 39TH St
Port Arthur, TX 77642-4331

Mailing address

3549 39TH St
Port Arthur, TX 77642-4331
Phone (409) 982-2271

National Provider Directory

National Provider Directory

Locations

3549 39th St
Port Arthur, TX 77642
Phone (409) 982-2271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1801951595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 39TH ST",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776424331",
            "telephone_number": "409-982-2271",
            "fax_number": "409-982-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 39TH ST",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776424331",
            "telephone_number": "409-982-2271",
            "fax_number": "409-982-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS W. KENNAUGH D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-24",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "KENNAUGH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-982-2271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.