PAUL A KENNEDY JR (NPI# 1295767903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295767903 |
| Entity Type | Individual |
| Full Name | PAUL A KENNEDY JR |
| Other Name | PAUL A KENNEDY JR INC |
| Credential | DDS |
| Practice Address |
6200 Saratoga Blvd Bldg 1 Corpus Christi TX 78414-3421 |
| Practice Telephone | 3619929500 |
| Practice Fax Number | 3619921862 |
| Mailing Telephone | 3619929500 |
| Mailing Fax Number | 3619921862 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8445 | TX | Dental Providers |
| Street Address |
6200 SARATOGA BLVD BLDG 1 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770965030 | Tariq Ghazal | Dentist | 6200 Saratoga Blvd Bldg 1, Corpus Christi, TX 78414-3477 | 2015-06-23 |
| 1588732820 | Anne Katherine Hempstead | Dentist | 6200 Saratoga Blvd Bldg 1, Corpus Christi, TX 78414-3477 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1790267698 | Christine Rodriguez | Occupational Therapy Assistant | 3913 Eckner, Corpus Christi, TX 78414 | 2018-09-06 |
| 1588145643 | Teresita Elodia True | Physical Therapy Assistant | 3222 Hampton St, Corpus Christi, TX 78414 | 2018-08-27 |
| 1366923443 | Diana Solis | Occupational Therapy Assistant | 3801 Cimmaron Blvd, York Ave, Corpus Christi, TX 78414 | 2018-08-27 |
| 1780164335 | Marie Guardiola | Occupational Therapy Assistant | 6802 Jets Court, Corpus Christi, TX 78414 | 2018-08-14 |
| 1962905075 | Gabriel Shelton | Chiropractor | 5650 Woolridge Rd, Corpus Christi, TX 78414 | 2018-03-14 |
| 1154838779 | Maria Graciella Dizon Devera-ferrer | Physical Therapist | 6033 Maximus Drive, Corpus Christi, TX 78414 | 2018-01-04 |
| 1629594775 | Mildred Necesario Macasinag | Physical Therapist | 7805 Pavo Real St., Corpus Christi, TX 78414 | 2017-08-21 |
| 1790201176 | Christopher Muse | Counselor | 3126 Rodd Field Road, Corpus Christi, TX 78414 | 2017-08-17 |
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| Find all providers in zip 78414 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720361553 | Pediatrix Dental, P.a. | Dentist | 6120 S. Staples, Corpus Christi, TX 78413 | 2011-09-28 |
| 1053334136 | Edith Rojas | Dentist | 6120 S Staples St, Corpus Christi, TX 78413-2904 | 2006-07-26 |
| 1679522296 | Eugene Vincent Nolfi Jr. | Dentist | 525 Doddridge St, Corpus Christi, TX 78411-2371 | 2006-05-09 |
| 1104897206 | Nicole Bate Pruitt | Dentist | 3435 S Alameda St Ste A, Corpus Christi, TX 78411-1797 | 2006-01-28 |
| 1467085522 | Steven Solis, D.d.s, Pllc | Dentist | 525 Doddridge St, Corpus Christi, TX 78411-2371 | 2020-02-18 |
| 1770965030 | Tariq Ghazal | Dentist | 6200 Saratoga Blvd Bldg 1, Corpus Christi, TX 78414-3477 | 2015-06-23 |
| 1235578667 | Rosanna Puente Whidden | Dentist | 6200 Saratoga Blvd, Bldg 1, Corpus Christi, TX 78414-3477 | 2013-06-19 |
| 1659550689 | Terry R Summers Dds | Dentist | 5920 Saratoga Blvd, Suite 370, Corpus Christi, TX 78414-4119 | 2007-10-26 |
| 1497899298 | Terry R Summers | Dentist | 5920 Saratoga Blvd, Suite 370, Corpus Christi, TX 78414 | 2007-02-16 |
| 1588732820 | Anne Katherine Hempstead | Dentist | 6200 Saratoga Blvd Bldg 1, Corpus Christi, TX 78414-3477 | 2006-12-04 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78414 |
Please comment or provide details below to improve the information on PAUL A KENNEDY JR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.