DR. JOHN R KENNEDY (NPI# 1508069048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508069048 |
| Entity Type | Individual |
| Full Name | DR. JOHN R KENNEDY |
| Credential | D.D.S. |
| Practice Address |
3515 Mansfield Hwy Fort Worth TX 76119-6718 |
| Practice Telephone | 8175365683 |
| Mailing Telephone | 8175365683 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7283 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| 1609954270 | John M. Kennedy | Internal Medicine | 20911 Earl St., Ste. 200, Torrance, CA 90503-4353 | 2006-11-01 |
| Street Address |
3515 MANSFIELD HWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1962028514 | Christopher Thomas Mathew | Dentist | 4744 Bryant Irvin Rd, Fort Worth, TX 76132-3646 | 2020-06-19 |
| 1376016469 | Brident Dental Associates PC | Dentist | 815 E Berry St Ste B, Fort Worth, TX 76110-4457 | 2019-01-10 |
| 1972089241 | Hulen Dental Partners Pplc | Dentist | 6217 Oakmont Blvd, Fort Worth, TX 76132-2812 | 2018-07-19 |
| 1811473499 | Oak View Family Dentistry Pllc | Dentist | 8201 N. Beach St. Unit 101, Fort Worth, TX 76244 | 2018-07-17 |
| 1184118465 | Lisa Tran | Dentist | 515 W Loop 820 N Ste 101, Fort Worth, TX 76108-1450 | 2018-06-19 |
| 1548772213 | Ideal Dental of West 7th Pllc | Dentist | 628 Harrold St Ste 124, Fort Worth, TX 76107-2323 | 2017-11-02 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1083138341 | Shakti Darshan Pllc | Dentist | 10313 Roatan Trl, Fort Worth, TX 76244-2039 | 2017-07-28 |
| 1336662022 | Ben Luka | Dentist | 639 Alta Mere Dr, Fort Worth, TX 76114 | 2017-07-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on DR. JOHN R KENNEDY.
| 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.