Jason Branch Kennon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15995 Issued in FL

Practice address

2309 Saint Andrews Blvd
Panama City, FL 32405-2171

Phone

(850) 769-1034

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Kennon DMD LLC

  • General Practice Dentistry
  • Panama City, FL
  • NPI 1568764769
  NPD (past) Authorized official
• Kennon Dental Associates PA

  • General Practice Dentistry
  • Panama City, FL
  • NPI 1518178334
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199577600000",
    "number": "1851343776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SAINT ANDREWS BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052171",
            "telephone_number": "850-769-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SAINT ANDREWS BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052171",
            "telephone_number": "850-769-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNON",
        "first_name": "JASON",
        "middle_name": "BRANCH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "15995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Kennedy
• Rebecca Lynn Kennedy, O.D.
• Rhiannon Melissa Kennedy, ARNP
• Samantha Nicole Kenney, MSW
• Kennon Dental Associates PA
• Heather Henderson Kent, M.S CCC-SLP
• Rose Kenyon, RN
• Matthew B Kern, M.D.
• Daphney Kernizan, DO
• John Michael Kessinger, MD

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.