Organization Active NPI

Kylene H Fernandez DDS Ms LLC

  • Pediatric Dentistry
  • Hilliard, OH
National Provider Identifier
1891558797
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KYLENE H FERNANDEZ DDS MS LLC
Practice address
3663 Ridge Mill Dr Ste 102
Hilliard, OH 43026-7799
Phone
(614) 527-1000
Fax
(614) 527-0100
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Kylene H Fernandez, DDS MSNPI 1467548099
Title
Dentist
Phone
(614) 527-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3663 Ridge Mill Dr Ste 102
Hilliard, OH 43026-7799

Mailing address

3663 Ridge Mill Dr Ste 102
Hilliard, OH 43026-7799
Phone (614) 527-1000

National Provider Directory

National Provider Directory

Locations

3663 Ridge Mill Dr
Ste 102
Hilliard, OH 43026
Phone (614) 527-1000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1891558797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR STE 102",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-527-1000",
            "fax_number": "614-527-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR STE 102",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-527-1000",
            "fax_number": "614-527-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLENE H FERNANDEZ DDS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "KYLENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-527-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.