Kenneth Carmen Denardo, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS019867L Issued in PA

Practice address

200 Commerce Dr
Suite 203
Moon Township, PA 15108-3188

Phone

(412) 264-3499

Fax

(412) 264-3524

NPI assigned

Mar 18, 2013

Last updated

Feb 23, 2016By the provider in NPPES

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 PA

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

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.

• KC Denardo DMD PC

  • Endodontics
  • Moon Township, PA
  • NPI 1366417941
  Authorized official Same address or phone

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1871835702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMERCE DR",
            "address_2": "SUITE 203",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151083188",
            "telephone_number": "412-264-3499",
            "fax_number": "412-264-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMERCE DR",
            "address_2": "SUITE 203",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151083188",
            "telephone_number": "412-264-3499",
            "fax_number": "412-264-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARDO",
        "first_name": "KENNETH",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS019867L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah D David, CST
• Melinda Renee Davis, DMD
• Sharon A Davis, D.M.D.
• Nancy C Debranski, PA-C
• Starlene Marie Delp, MS
• Dental Professionals of Pennsylvania, P.C. (Thorn Run Dental Care)
• Christie Byrd Depner, PT
• Shannon Dering, LPC
• Oriente A Ditano, MD
• Timothy Mangus Dornin, D.M.D.

• Endodontics in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.