Individual provider Active NPI

Jennifer Kessel, PHARM.D., DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1861834830
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35720 Issued in TX
Practice address
12586 Westheimer Rd Ste C
Houston, TX 77077-5866
Phone
(281) 271-0782
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53234 TX
General Practice Dentistry 1223G0001X 35720 TX Primary

Addresses

Primary practice location

12586 Westheimer Rd Ste C
Houston, TX 77077-5866

Mailing address

12586 Westheimer Rd Ste C
Houston, TX 77077-5866
Phone (281) 271-0782

Other practice location 1

16300 Southwest Fwy
T-1786
Sugar Land, TX 77479-2371
Phone (281) 340-0565

Other practice location 2

12502 Memorial Dr
Houston, TX 77024-6000
Phone (713) 465-6443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
53234TXMDPharmacist
35720TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past Accepting new patients
CVS Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1861834830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12586 WESTHEIMER RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775866",
            "telephone_number": "281-271-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12586 WESTHEIMER RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775866",
            "telephone_number": "281-271-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16300 Southwest Fwy",
            "address_2": "T-1786",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792371",
            "country_code": "US",
            "telephone_number": "281-340-0565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12502 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770246000",
            "country_code": "US",
            "telephone_number": "713-465-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSEL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53234",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.