Kenneth Anson Film, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10096 Issued in MD

Practice address

708 Chase Six Blvd
Boonsboro, MD 21713-2059

Phone

(301) 432-4322

Fax

(301) 432-4330

NPI assigned

Jun 13, 2005

Last updated

Apr 9, 2015By 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 MD

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.

• Boonsboro Dental Care, LLC

  dba South Mountain Dental

  • General Practice Dentistry
  • Boonsboro, MD
  • NPI 1780070482
  NPD (past) Authorized official
• Dental Offices of Dr Shiza Khan

  dba South Mountain Dental

  • General Practice Dentistry
  • Boonsboro, MD
  • NPI 1629987078
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1881698223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHASE SIX BLVD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132059",
            "telephone_number": "301-432-4322",
            "fax_number": "301-432-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHASE SIX BLVD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132059",
            "telephone_number": "301-432-4322",
            "fax_number": "301-432-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILM",
        "first_name": "KENNETH",
        "middle_name": "ANSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Elizalde, CRNP
• Fahrney-Keedy Memorial Home, Inc (Fahrney-Keedy)
• Fahrney-Keedy Memorial Home, Inc. (Jone L. Bowman Adult Medical Day Center at Fahmey-Keedy)
• Keith Fanjoy, LCSW-C
• Shannon Marie Fender
• Michael Fitzgerald
• Kelly Ann Flemming, PTA
• Edward James Galligan
• Green Valley Therapy, L.L.C.
• Kristen Grim, MSOTR/L

• General Practice Dentistry in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.