Active NPI
Kenneth Kent, D.M.D.
- Prosthodontics
- Cherry Hill, NJ
National Provider Identifier
1972515443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DI13166-01
- Practice address
- 5 Heather LN
Cherry Hill, NJ 08003 - Phone
- (856) 424-6794
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DI13166-01 | NJ | Primary |
Addresses
Primary practice location
5 Heather LN
Cherry Hill, NJ 08003
Mailing address
5 Heather LN
Cherry Hill, NJ 08003-2232
Phone (856) 424-6794
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI13166-01 | NJ | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Oral Surgery Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Philadelphia, PA
- NPI 1912011321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1972515443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HEATHER LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032232",
"telephone_number": "856-424-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HEATHER LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08003",
"telephone_number": "856-424-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "DI13166-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.