DR. DENNIS KENYON M.D. - NPI 1467433300 - General Practice in Springfield, MO

Q: What is Dennis Kenyon's NPI number?

The NPI number for Dennis Kenyon is 1467433300. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Dennis Kenyon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Dennis Kenyon was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Dennis Kenyon M.d. NPPES

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

DR. DENNIS KENYON M.D. (NPI 1467433300) is an individual general practice provider in Springfield, Missouri, licensed in Missouri (R8D26) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rogersville.

NPPES Registry Identity

NPI1467433300

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. DENNIS KENYONCredential: M.D.

Location Address2240 W SUNSET ST STE 104Springfield, MO 65807-6041

Mailing Address2240 W Sunset St Ste 104Springfield, MO 65807-6041 · (417) 883-7500 · Fax (417) 269-9281

Phone(417) 883-7500

Fax(417) 269-9281

Sole ProprietorYes

Enumeration DateNovember 8, 2005

Last NPPES UpdateSeptember 12, 2023

NPPES CertifiedSeptember 12, 2023

✔ NPI 1467433300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MO · R8D26

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License R8D26 (MO)

2240 W SUNSET ST STE 104, Springfield, MO 65807

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Secondary Practice Location 1

Location 1121 Johnstown DrRogersville, MO 65742-9366 · Phone (417) 753-7757

Other Identifiers 1

Medicaid202082517MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dennis Kenyon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

COX HPS OF THE OZARKS, INC.

Family Medicine (Hospice and Palliative Medicine)