Kenneth D. Greenstadt D.D.S., Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24300 Issued in CA

Legal business name

KENNETH D. GREENSTADT D.D.S., INC.

Practice address

3565 Torrance Blvd
Suite B
Torrance, CA 90503-4847

Phone

(310) 792-6262

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Douglas Greenstadt, DDS

Title

Owner

Phone

(310) 792-6262

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1821494386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 TORRANCE BLVD",
            "address_2": "SUITE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034847",
            "telephone_number": "310-792-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 TORRANCE BLVD",
            "address_2": "SUITE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034847",
            "telephone_number": "310-792-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. GREENSTADT D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "GREENSTADT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-792-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "24300",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "24300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Ray Kennan, PSYD MFT
• Brittany F Kennedy
• Dana Edward Kennedy, M.D.
• John M. Kennedy, MD
• Kristen E Kennedy
• Kenneth K. Park, M.D., Inc.
• Kenneth K. Sakamoto M.D., Inc.
• Kenneth W Wright M D a Professional
• Kennethehollimaninc
• Teresa Ann Kenny, M.A.

• Pediatric Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.