DR. THOMAS J KENNY IV (NPI# 1386694354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386694354 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J KENNY IV |
| Other Name | DR. THOMAS J KENNY IV |
| Credential | M.D. |
| Practice Address |
101 Tower Rd Suite 120 Dakota Dunes SD 57049-5007 |
| Mailing Address |
956 Pebble Beach Dr Dakota Dunes SD 57049-5107 |
| Practice Telephone | 6052174320 |
| Practice Fax Number | 6052172948 |
| Mailing Telephone | 6054221080 |
| Mailing Fax Number | 6052172948 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 5111 | SD | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 34004 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100251553 00 | 05 | |
| NE | 10025206800 | 05 | |
| IA | 2239616 | 05 | |
| IA | 2ND BCBS PROVIDER NUM | 37777 | 01 |
| IA | 1239616 | 05 | |
| IA | BLUE CROSS PROVIDER NUM | 37196 | 01 |
| SD | 7701502 | 05 | |
| SD | 7701503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548638455 | Thomas Kenny | Dentist | 7398 Smoke Ranch Rd, 100, Las Vegas, NV 89128-0256 | 2015-09-09 |
| Street Address |
101 TOWER RD SUITE 120 |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010162 | Nicholas Emile Fernando | Physician Assistant | 101 Tower Rd, Suite 103, Dakota Dunes, SD 57049-5007 | 2005-06-01 |
| 1578011334 | Michelle Jean Zimiga | Audiologist-Hearing Aid Fitter | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2016-09-21 |
| 1578019212 | Mallory Hertz | Physical Therapist | 101 Tower Rd, Suite 110, Dakota Dunes, SD 57049-5011 | 2016-09-01 |
| 1659780278 | Jessica Lee Bowman | Nurse Practitioner | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2014-08-07 |
| 1619179538 | Reason Andrew Ford | Otolaryngology | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2007-06-04 |
| 1114141546 | Ear Nose and Throat Consultants and Hearing Services Plc | Otolaryngology | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049 | 2007-04-13 |
| 1992826838 | Jeremy Poulsen | Anesthesiology | 101 Tower Rd, Dakota Dunes, SD 57049-5007 | 2007-04-02 |
| 1073661187 | Thomas George Pratt | Optometrist | 101 Tower Rd, Suite 300, Dakota Dunes, SD 57049-5007 | 2007-01-08 |
| 1801810585 | Dunes Anesthesia PC | Nurse Anesthetist, Certified Registered | 101 Tower Rd, Suite 103, Dakota Dunes, SD 57049-5007 | 2006-07-27 |
| 1861442915 | Sarah L Pertzborn Powell | Otolaryngology | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619179538 | Reason Andrew Ford | Otolaryngology | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2007-06-04 |
| 1114141546 | Ear Nose and Throat Consultants and Hearing Services Plc | Otolaryngology | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049 | 2007-04-13 |
| 1861442915 | Sarah L Pertzborn Powell | Otolaryngology | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
| 1669616496 | Sacred Heart Rural Health Clinics | Otolaryngology | 409 Summit St, Suite 2800, Yankton, SD 57078-3734 | 2009-04-23 |
| 1124269162 | Micah Marshall Likness | Otolaryngology | 2525 Fox Run Parkway, Suite 101, Yankton, SD 57078-5371 | 2009-03-22 |
| 1265511406 | John Rhodes Oliphant | Otolaryngology | 5024 S Bur Oak Place, Suite 114, Sioux Falls, SD 57108-2237 | 2006-11-06 |
| 1801901863 | Yankton Ear Nose and Throat PC | Otolaryngology | 409 Summit St Ste 2800, Yankton, SD 57078-3735 | 2006-08-20 |
| 1881651958 | Reuben C Setliff IIi | Otolaryngology | 2709 E 26th St, Sioux Falls, SD 57103-4016 | 2006-05-01 |
| 1083680458 | Jonathan W Mellema | Otolaryngology | 310 22nd Ave, Brookings, SD 57006-2474 | 2006-02-27 |
| 1528039765 | Robert A Cihak | Otolaryngology | 820 1st Ave Se Ste 100, Aberdeen, SD 57401-4604 | 2006-01-27 |
| 1376520049 | Vaughan Richard Bowen | Otolaryngology | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2005-12-23 |
| 1871590547 | Daniel Warren Todd | Otolaryngology | 2315 W 57th St, Sioux Falls, SD 57108-5046 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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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.