Kendzior Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KENDZIOR ORTHODONTICS, PC

Practice address

2119 Allegheny Boulevard
Reno, PA 16343

Phone

(814) 676-5690

NPI assigned

Jun 12, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Fulton Kendzior, DDS, MSNPI 1174745046

Title

Orthodontist

Phone

(814) 437-4377

Specialties & licenses 1

Addresses

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.

• Bradley Fulton Kendzior, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reno, PA
  • NPI 1174745046
  NPD (past) Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1841729969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "RENO",
            "state": "PA",
            "postal_code": "163430428",
            "telephone_number": "814-437-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 ALLEGHENY BOULEVARD",
            "city": "RENO",
            "state": "PA",
            "postal_code": "16343",
            "telephone_number": "814-676-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162141925",
            "country_code": "US",
            "telephone_number": "814-226-4120",
            "fax_number": "814-226-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENDZIOR ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KENDZIOR",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "814-437-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Fulton Kendzior, D.D.S., M.S.
• Jessica Lee Moss, FNP, RN
• Reno Volunteer Fire Department

• Orthodontics and Dentofacial Orthopedics Dentistry in Reno, PA
• Providers in Reno, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.