Kenneth R Dibble DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENNETH R DIBBLE DDS

Practice address

1509 Northwest Hwy
Garland, TX 75041-5231

Phone

(972) 840-6100

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Kenneth Reid Dibble, DDSNPI 1417935784

Title

Owner/President

Phone

(801) 232-7022

Specialties & licenses 1

Addresses

Tax ID family

Kenneth R Dibble DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kenneth R Dibble DDS

  • Dental Clinic/Center
  • Sandy, UT
  • NPI 1336730324
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Reid Dibble, D.D.S.

  • General Practice Dentistry
  • Garland, TX
  • NPI 1417935784
  NPD Authorized official
• Richard Y. Baker, D.D.S.

  • General Practice Dentistry
  • Garland, TX
  • NPI 1962510172
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1891434445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E RIPARIAN DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208541",
            "telephone_number": "801-232-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415231",
            "telephone_number": "972-840-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R DIBBLE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "DIBBLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-232-7022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Kelly, M.S., CCC-SLP
• Nancy Kelso, LPC
• Anna Christine Keltner, BSN, RN
• Selam Daniel Kendie, M.A. LPC
• Janet Kennedy, M.S. CCC-A
• Kenny Care Assisted Living LLC
• Erica Almendarez Kepple, LPC
• Gregory A Kerbel, D.D.S.
• Deanna McCutcheon Kern, D.C.
• Jeffrey D. Kerr, M.D.

• Dental Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.