Kenyon Bevan Hill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18358 Issued in TX

Practice address

2504 Ridge Rd
Suite 207
Rockwall, TX 75087-2569

Phone

(972) 771-9196

Fax

(972) 771-9154

NPI assigned

May 30, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851592653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 207",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-771-9196",
            "fax_number": "972-771-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 207",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-771-9196",
            "fax_number": "972-771-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KENYON",
        "middle_name": "BEVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Herrera
• Herrold Counseling LLC
• Ammee Michelle Herron, MS, LMFTA
• Tamiko M. Hickman, R.PH.
• John P. Hill, O.D.
• Keteria Hilley, RBT
• Shawn Hillhouse, MSN, APRN, NP-C
• George Andrew James Hillis, LPC
• Laurie F. Hindman, LPC
• Dana Julian Hines, PHARM.D

• General Practice Dentistry in Rockwall, TX
• Providers in Rockwall, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.