ANN DOUGLAS KENNEDY (NPI# 1700266236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700266236 |
Entity Type | Individual |
Full Name | ANN DOUGLAS KENNEDY |
Credential | D.D.S |
Practice Address |
16607 Riverstone Way Ste 300 Charlotte NC 28277 |
Mailing Address |
16607 Riverstone Way Ste 300 Charlotte NC 28277-5750 |
Practice Telephone | 7045445000 |
Mailing Telephone | 3362092974 |
Enumeration Date | 2015-05-29 |
Last Update Date | 2018-11-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 10082 | NC | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10082 | NC | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3333 Burnet Ave, Cincinnati, OH 452293026 | 5136364200 | |
890 Summit Crossing Pl, Gastonia, NC 280542192 | 7048740377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447673058 | Ann Marie Kennedy | Student in an Organized Health Care Education/Training Program | 33 Whitman St, 1r, Dorchester, MA 02124-4428 | 2014-02-03 |
1457503633 | Ann M. Kennedy | Speech-Language Pathologist | 171 Proctor Rd, Chenango Forks, NY 13746-2143 | 2008-10-19 |
1679011027 | Ann Marie Kennedy | Case Manager/Care Coordinator | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2017-02-06 |
1174076434 | Ann Kennedy | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-03 |
1619234879 | Ann Alicia Kennedy | Nurse Practitioner | 2510 El Camino Real, Minute Clinic, Carlsbad, CA 92008 | 2012-04-12 |
1225331663 | Ann Marie Kennedy | Social Worker | 1070 College Ave, Columbus, OH 43209-2374 | 2010-12-07 |
Street Address |
16607 RIVERSTONE WAY STE 300 |
City | CHARLOTTE |
State | NC |
Zip Code | 28277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
Find all providers in zip 28277 |
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 |
---|---|---|---|---|
1336607340 | Arpita Patel, Dmd, Pa | Dentist | 2400 South Blvd Ste 100, Charlotte, NC 28203-5773 | 2019-03-08 |
1598247579 | S. Vakil Dds Ms I, Pa | Dentist | 6331 Carmel Rd Ste 101, Charlotte, NC 28226-8246 | 2018-09-05 |
1366971384 | Young and Polite Young Dds Pa | Dentist | 3010 Baucom Rd Ste 100, Charlotte, NC 28269-6767 | 2017-06-05 |
1174972756 | Brandy Edmonds | Dentist | 2630 W Arrowood Rd Ste C, Charlotte, NC 28273-6263 | 2016-06-06 |
1487032850 | John Michael Bakarich | Dentist | 7741 Ballantyne Commons Pkwy Ste 101, Charlotte, NC 28277-4140 | 2015-05-18 |
1568840403 | Carson Rutledge | Dentist | 2700 Coltsgate Rd Ste 204, Charlotte, NC 28211-3573 | 2015-05-12 |
1578962254 | Sonam Shah Patel | Dentist | 17214 Lancaster Hwy Ste 301, Charlotte, NC 28277-2093 | 2014-08-18 |
1215343421 | Marcela Mujica Dmd | Dentist | 2630 W Arrowood Rd, Suite C, Charlotte, NC 28273-6134 | 2014-07-08 |
1841626835 | R. Corey Snow, Dmd and Jason K. Snow, Dds, Pllc | Dentist | 2620 Central Ave, Charlotte, NC 28205-5335 | 2013-09-23 |
1427344357 | Oscar Nzita Mvula | Dentist | 1515 Mainline Blvd, Apt 7202, Charlotte, NC 28203-0521 | 2011-06-20 |
Find all providers in CHARLOTTE |
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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.