MATTHEW C KENNEDY (NPI# 1396000774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396000774 |
| Entity Type | Individual |
| Full Name | MATTHEW C KENNEDY |
| Credential | D.D.S. |
| Practice Address |
5006 Dodge St Omaha NE 68132-2920 |
| Practice Telephone | 4025541333 |
| Practice Fax Number | 4025541336 |
| Mailing Telephone | 4025541333 |
| Mailing Fax Number | 4025541336 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7042 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851856 | Matthew Kennedy | Pharmacist | 4851 Russell Pkwy Ste 100, Warner Robins, GA 31088-9300 | 2020-05-05 |
| 1821155896 | Matthew Kennedy | Dentist | 4252 N Verrado Way, Suite 105, Buckeye, AZ 85396-7586 | 2007-01-02 |
| 1265032817 | Matthew Donald Kennedy | Pharmacist | 335 Ocean House Rd, Cape Elizabeth, ME 04107-2441 | 2020-10-31 |
| 1265057038 | Matthew Lawrence Kennedy | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-08 |
| 1811481567 | Matthew Leo Kennedy | Emergency Medicine | 1215 E Michigan Ave # 3-post, Lansing, MI 48912-1811 | 2018-06-17 |
| 1558874099 | Matthew Kennedy | Student in an Organized Health Care Education/Training Program | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2017-11-07 |
| 1194267179 | Matthew Kennedy | Physician Assistant | 3444 Masonic Dr, Alexandria, LA 71301-3615 | 2016-11-08 |
| 1669614814 | Matthew Davis Kennedy | Physical Therapist | 3200 Chouteau Ave, Saint Louis, MO 63103-2910 | 2009-04-02 |
| 1003956582 | Matthew Kennedy | Pharmacist | 3318 Canoe Creek Rd, Saint Cloud, FL 34772-6511 | 2007-02-07 |
| Street Address |
5006 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68132-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164596391 | John F Parra | Dentist | 5006 Dodge St, Omaha, NE 68132 | 2006-11-20 |
| 1336590314 | Elle S Jones | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2016-06-30 |
| 1639527484 | Kayla Haiar | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2016-06-01 |
| 1740662568 | Brittany Kennedy | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2015-06-29 |
| 1912315177 | Summit Dental Health - Dundee LLC | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2014-07-31 |
| 1215241641 | Michael Joseph Belling | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2010-07-27 |
| 1184883233 | Patrick X Mcintosh | Dentist | 5006 Dodge St, Omaha, NE 68132-2978 | 2008-06-04 |
| 1932395498 | Nicholas Allyn Kanning | Dentist | 5006 Dodge St, Omaha, NE 68132-2978 | 2007-09-19 |
| 1710100151 | Robert Burke Noel | Dentist | 5006 Dodge St, Omaha, NE 68132-2978 | 2007-04-11 |
| 1992843213 | Kevin P. Ryan | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588067227 | Yusuke Namba | Student in an Organized Health Care Education/Training Program | 7070 Capitol Court Apt 872, Omaha, NE 68132 | 2014-10-08 |
| 1811262314 | Jessica Ann Stallings | Counselor | 621 N 51st St, Omaha, NE 68132 | 2012-03-15 |
| 1639469927 | Derrick Metschke | Anesthesiology | 1101 N. 50th Ave, Omaha, NE 68132 | 2011-04-08 |
| 1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
| 1366774416 | Emergency Physicians of Eastern Nebraska, PC | Emergency Medicine | 2500 Bellevue Center Drive, Emergency Department, Bellevue, NE 68132 | 2010-01-31 |
| 1871726125 | Micaila M Ruiz | Pharmacist | 820 N Saddle Creek Road, Omaha, NE 68132 | 2009-09-02 |
| 1790929412 | Andrew Ryan Thompson | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132 | 2009-04-24 |
| 1508084450 | Adoption Links Worldwide | Counselor | 5017 Leavenworth St., Ste 1, Omaha, NE 68132 | 2007-04-23 |
| 1750860219 | Geri Mcvey | Registered Nurse | 5002 Underwood Ave, Omaha, NE 68132 | 2018-08-07 |
| 1255794632 | Maureen Kathleen Feeney | Acupuncturist | 8031 W. Center Rd, Suite 225, Omaha, NE 68132 | 2016-04-01 |
| Find all providers in zip 68132 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| Find all providers in OMAHA | ||||
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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.