PAUL A KENNEDY, JR., D.D.S., INC (NPI# 1720008568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720008568 |
| Entity Type | Organization |
| Organization Name | PAUL A KENNEDY, JR., D.D.S., INC |
| Practice Address |
6200 Saratoga Blvd Corpus Christi TX 78414-3421 |
| Mailing Address |
6200 Saratoga Blvd Building 1 Corpus Christi TX 78414-3477 |
| Practice Telephone | 3619929500 |
| Practice Fax Number | 3619921862 |
| Mailing Telephone | 3619929500 |
| Mailing Fax Number | 3619921862 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | DR. PAUL A KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 3619929500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8445 | TX | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8445 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8445 | TX | Dental Providers |
| Street Address |
6200 SARATOGA BLVD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740238880 | Charles Mckean Allen | Dentist | 6200 Saratoga Blvd, Bldg 2 102, Corpus Christi, TX 78414-3421 | 2006-05-04 |
| 1235578667 | Rosanna Puente Whidden | Dentist | 6200 Saratoga Blvd, Bldg 1, Corpus Christi, TX 78414-3477 | 2013-06-19 |
| 1528322658 | Todd David Butler | Dentist | 6200 Saratoga Blvd, Bldg 1, Corpus Christi, TX 78414-3477 | 2012-07-03 |
| 1790887016 | Christus Continuing Care | Hospice Care, Community Based | 6200 Saratoga Blvd, Suite 104, Corpus Christi, TX 78414-3421 | 2006-09-05 |
| 1548362882 | Christus Continuing Care | Home Health | 6200 Saratoga Blvd, Suite 104, Corpus Christi, TX 78414-3478 | 2006-09-05 |
| 1033126818 | Adult Medicine Associates | Family Medicine | 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414-3477 | 2006-08-02 |
| 1619984457 | Catherine Bussieres | Family Medicine | 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414-3477 | 2006-08-02 |
| 1467469205 | Andres Nisimblat | Family Medicine | 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414-3477 | 2006-08-02 |
| 1194732974 | Glenn Lamar Bugay | Internal Medicine | 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414-3478 | 2006-08-02 |
| 1982622049 | Robert B Hanover | Dentist | 6200 Saratoga Blvd, Corpus Christi, TX 78414-3421 | 2006-07-17 |
| Find all providers in the same location | ||||
| 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 |
| 1295767903 | Paul A Kennedy Jr | Dentist | 6200 Saratoga Blvd Bldg 1, Corpus Christi, TX 78414-3421 | 2006-07-06 |
| 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 |
| 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., D.D.S., INC.
| 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.