Kenwood Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENWOOD DENTAL GROUP

Practice address

1335 E 87TH St Ste a
Chicago, IL 60619-7036

Phone

(773) 819-7105

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Barnes, DDS

Title

Owner

Phone

(708) 539-5720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1831749944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E 87TH ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197036",
            "telephone_number": "773-819-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E 87TH ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197036",
            "telephone_number": "773-819-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-539-5720",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• William David Thomas Kent, MD, MSC
• Kristy Kenter, PA-C
• Laiken Peterson Kentnich, MS, CGC
• Kenton Diagnostics, Inc
• Kimberly Kenton, MD
• Kenwood Healthcare Center
• Kenwood Village Nursing and Rehabilitation Center, LLC
• Brandy Kenworthy, LCSW
• Robert Kenyon
• Kenzmi Health

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.