Thomas John Kennedy of Missouri, DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

011904 Issued in MO

Legal business name

THOMAS JOHN KENNEDY OF MISSOURI, DDS, P.C.

Practice address

1708 Missouri State Rd
Arnold, MO 63010-2006

Phone

(636) 287-9331

NPI assigned

Nov 30, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas J Kennedy, DDS

Title

Officer

Phone

(800) 658-2177

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark F Adams, DMD

  • Dentist
  • Arnold, MO
  • NPI 1003086737
  NPD (past)
• Azaryas Tadiwos Mandefro, DMD

  • Dentist
  • Arnold, MO
  • NPI 1881922193
  NPD (past)
• Pamela Trisha Yu, DDS

  • Dentist
  • Arnold, MO
  • NPI 1881828648
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1992987036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MISSOURI STATE RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102006",
            "telephone_number": "636-287-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 MISSOURI STATE RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102006",
            "telephone_number": "636-287-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JOHN KENNEDY OF MISSOURI, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "800-658-2177",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "011904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Danielle Tarquinio
• Elaina R Taylor, LPC
• Christina Colleen Teller
• The Valley at Woodlands LLC (Pine Valley at the Woodlands)
• Victoria Kay Theiss, MS OTRL
• Cheryl Thompson, MED
• Kayla Davelle Thompson, MOTR/L
• Zach Thorn, DPT
• Lauren Michelle Tighe, PT, DPT, ATC
• Timothy Lee Laster

• Dentist in Arnold, MO
• Providers in Arnold, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.