Kenneth Scott Coddington, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59099 Issued in CA

Practice address

27027 Triumph Ave
Canyon Country, CA 91387-3975

Phone

(661) 219-3671

NPI assigned

Apr 13, 2010

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

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1851617013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27027 TRIUMPH AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873975",
            "telephone_number": "661-219-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27027 TRIUMPH AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873975",
            "telephone_number": "661-219-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDINGTON",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lee Childs, FNP
• Ashley Beth Ciccarello, FNP-BC
• Paula D. Clarke, LCSW
• Amber Marie Cobb, RCP, CRT, RRT
• Stacey Ann Cobb, HAP 200
• Joseph Conarkov, CMT
• Carolyn Ann Conrad, RDHAP
• Maria Eugenia Cortes Guzman, LVN
• Thomas Cox
• Evelyn Coyoy Menchu, LCSW

• General Practice Dentistry in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.