Sara Asgari Kendall, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9015 Issued in KY

Practice address

161 Richmond Rd
Irvine, KY 40336-7222

Phone

(606) 723-4112

Fax

(606) 723-5372

NPI assigned

Jun 8, 2011

Last updated

Jun 18, 2024By the provider in NPPES

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

Enrolled in KY

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky River Dentistry, PSC

  • General Practice Dentistry
  • Irvine, KY
  • NPI 1821131954
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1861786766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367222",
            "telephone_number": "606-723-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367222",
            "telephone_number": "606-723-4112",
            "fax_number": "606-723-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "SARA",
        "middle_name": "ASGARI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Lee Johnson, DMD
• Pamela Jones, APRN
• Steven E Kain, PHARMD
• Maher Kassis, M.D.
• Billie Jean Kelley, APRN
• Kentucky One Health Medical Group, Inc. (KentuckyOne Health Primary Care Associates)
• Kentucky River Dentistry, PSC
• Kentucky River Foothills Development Council, Inc. (Foothills Behavioral Health Clinic)
• Kentucky River Foothills Development Council, Inc. (Foothills Mobile Health Clinic)
• Anita J King, PHARMD

• General Practice Dentistry in Irvine, KY
• Providers in Irvine, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.