Individual provider Active NPI

Gia Denise Kenner, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1932496148
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29224 Issued in TX
Practice address
4100 Greenbriar St
Apt 507
Houston, TX 77098-5200
Phone
(310) 925-8885
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29224 TX Primary

Addresses

Primary practice location

4100 Greenbriar St
Apt 507
Houston, TX 77098-5200

Mailing address

4100 Greenbriar St
Apt 507
Houston, TX 77098-5200
Phone (310) 925-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160211002222 TX Order and Referring Only - DentistPractitioner - Dentist 2860796851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1932496148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GREENBRIAR ST",
            "address_2": "APT 507",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985200",
            "telephone_number": "310-925-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GREENBRIAR ST",
            "address_2": "APT 507",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985200",
            "telephone_number": "310-925-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "GIA",
        "middle_name": "DENISE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.