DR. JAMES EDWARD KENNEDY (NPI# 1447373071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447373071 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD KENNEDY |
| Credential | DMD MS |
| Practice Address |
910 Williston Park Pt Ste 1050 Lake Mary FL 32746-2107 |
| Mailing Address |
455 Golf Brook Ln Apt 103 Longwood FL 32779-6104 |
| Practice Telephone | 4078338522 |
| Practice Fax Number | 4078338523 |
| Mailing Telephone | 4078338522 |
| Mailing Fax Number | 4078338523 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN15259 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661505 | James Kennedy | Chiropractor | 15100 Washington St Ste 102, Haymarket, VA 20169-4919 | 2018-08-29 |
| 1710194147 | James Stephen Kennedy | Internal Medicine | 110 Frances King Dr, Smyrna, TN 37167-5352 | 2007-05-16 |
| 1245442227 | James Allen Kennedy II | Counselor | 10700 State Bridge Rd, Johns Creek, GA 30022-7491 | 2007-05-04 |
| 1477632453 | James R Kennedy | Psychiatry & Neurology | 327 College Ave, Santa Rosa, CA 95401-5117 | 2006-11-02 |
| 1194811711 | James Allen Kennedy | Psychiatry & Neurology | 88 Lincoln St, Framingham, MA 01702-6354 | 2006-10-04 |
| 1275626178 | James Douglas Kennedy | Chiropractor | 13348 Poway Rd, Poway, CA 92064-4626 | 2006-10-02 |
| 1063422392 | James P Kennedy | Dentist | 9408 47th St, Brookfield, IL 60513-2235 | 2006-08-09 |
| 1558375626 | James P Kennedy | Dentist | 2784 N Decatur Rd, Ste 110, Decatur, GA 30033-5903 | 2006-07-27 |
| 1306889209 | James F Kennedy | Chiropractor | 21321 Harper Ave, Saint Clair Shores, MI 48080-2224 | 2006-06-14 |
| 1114970357 | James P Kennedy | Orthopaedic Surgery | 72 5th St Se, Suite A, Barberton, OH 44203-4201 | 2006-05-18 |
| Street Address |
910 WILLISTON PARK PT STE 1050 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280058 | Thomas C. Burkley | Dentist | 430 Waymont Ct, #110, Lake Mary, FL 32746 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344354 | Philipkjosephsllc | Dentist | 161 Monterey Bay Dr, Boynton Beach, FL 33426-8438 | 2020-10-21 |
| 1194322651 | Peter Tsambazis Dmd, Inc | Dentist | 6654 Collier Blvd Unit 104, Naples, FL 34114-8179 | 2020-10-07 |
| 1265041578 | Lauren Elise Steinberg | Dentist | 7301 W Palmetto Park Rd Ste 303a, Boca Raton, FL 33433-3458 | 2020-07-23 |
| 1306462213 | Miami Healthy Smiles | Dentist | 8861 Sw 69th Ct, Pinecrest, FL 33156-1605 | 2020-06-17 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1437783792 | Anthony Joseph Michelotti | Dentist | 3331 Briarwood Cir, Safety Harbor, FL 34695-4691 | 2020-02-26 |
| 1417595893 | Park Plaza Dental Care | Dentist | 1144 N Federal Hwy, Pompano Beach, FL 33062-4322 | 2019-12-16 |
| 1619538832 | George Edward Tolson V | Dentist | 1739 E Commercial Blvd, Oakland Park, FL 33334-5737 | 2019-06-27 |
| 1396203485 | Michael Steven Liss | Dentist | 2600 N Military Trl Ste 310, Boca Raton, FL 33431-6315 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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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.