Robert Alan Kenyon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025555 Issued in OH

Practice address

27 Neverland Dr
Lewis Center, OH 43035-9150

Phone

(740) 548-0575

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Dugas Dental, Inc

  • Dental Clinic/Center
  • Lewis Center, OH
  • NPI 1467013615
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1922218486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 WENSLEY CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827190",
            "telephone_number": "301-642-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NEVERLAND DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359150",
            "telephone_number": "740-548-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8309",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Castello Counseling
• Peter Andrew Kelley, LPCC
• Stacy Sue Kelley, CNP
• Michael Paul Kelly, M.D.
• Meghan Howes Kemper
• Keamogetse Yasmine Khudu, CT
• Kia Home Care LLC
• Young Hwan Kim, D.C.
• Christopher Jason Kindinger, SWT
• Stephanie Kington

• General Practice Dentistry in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.