JACOB KENNEDY DDS
NPI 1154196848
Dentist - General Practice in Port Angeles, WA

Q: What is Jacob Kennedy's NPI number?

The NPI number for Jacob Kennedy is 1154196848. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Q: What is Jacob Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Kennedy was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2023

620 E 8TH ST, PORT ANGELES, WA 98362(360) 216-6166 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Nov 22, 2023 (2 updates tracked since 2023).

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About Jacob Kennedy Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB KENNEDY DDS (NPI 1154196848) is an individual general practice provider in Port Angeles, Washington, licensed in Washington (70017745) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1154196848

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACOB KENNEDYCredential: DDS

Location Address620 E 8TH STPort Angeles, WA 98362-6224

Mailing Address756 High Country DrPort Angeles, WA 98362-7493 · (360) 216-6166

Phone(360) 216-6166

Sole ProprietorNo

Enumeration DateNovember 22, 2023

Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1154196848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · 70017745

Definition

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.

620 E 8TH ST, Port Angeles, WA 98362

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRETT CHRISTOPHER STARTIN D.D.S

Dentist

620 E 8TH ST
PORT ANGELES, WA 98362

Clallam County (360) 457-0489

DR. SAMUEL DALTON CROCCO DMD

Dentist

620 E 8TH ST
PORT ANGELES, WA 98362

Clallam County (360) 457-0489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Kennedy's NPI number?

The NPI number for Jacob Kennedy is 1154196848. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Jacob Kennedy located?

Jacob Kennedy practices at 620 E 8th St, Port Angeles, WA 98362. The listed phone number is (360) 216-6166.

What is Jacob Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Kennedy was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.