Individual provider Active NPI

Cody Stephen Andrew Kendera, D.D.S.

  • General Practice Dentistry
  • North Huntingdon, PA
National Provider Identifier
1912433988
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045086 Issued in PA
Practice address
8489 Country Club Dr Ste 3
North Huntingdon, PA 15642-4345
Phone
(724) 863-4350
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D14231 MN
General Practice Dentistry 1223G0001X DS045086 PA Primary

Addresses

Primary practice location

8489 Country Club Dr Ste 3
North Huntingdon, PA 15642-4345

Mailing address

8489 Country Club Dr Ste 3
North Huntingdon, PA 15642-4345
Phone (724) 863-4350

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

State licenses

LicenseStateTypeSpecialty
D14231MNMDGeneral Practice Dentistry
DS045086PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Dental Group General Practice CurrentSince May 18, 2025 Accepting new patients
Western Pennsylvania Dental Group General Practice PastSince May 18, 2025 Accepting new patients

Locations

8489 Country Club Dr
Ste 3
North Huntingdon, PA 15642
Phone (724) 863-4350

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1912433988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8489 COUNTRY CLUB DR STE 3",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156424345",
            "telephone_number": "724-863-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8489 COUNTRY CLUB DR STE 3",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156424345",
            "telephone_number": "724-863-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDERA",
        "first_name": "CODY",
        "middle_name": "STEPHEN ANDREW",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14231",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.