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DR. BOBBY CARL KENNEDY D.D.S
NPI 1699804492
Dentist - General Practice in Sacramento, CA

Active since March 05, 2007
1611 EXECUTIVE CT STE 200, SACRAMENTO, CA 95864(916) 487-5160(916) 487-8332 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bobby Carl Kennedy D.d.s NPPES

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

DR. BOBBY CARL KENNEDY D.D.S (NPI 1699804492) is an individual general practice provider in Sacramento, California, licensed in California (35625) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1699804492
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BOBBY CARL KENNEDYCredential: D.D.S
Location Address1611 EXECUTIVE CT STE 200Sacramento, CA 95864-2648
Mailing Address1611 Executive Ct Ste 200Sacramento, CA 95864-2648 · (916) 487-5160 · Fax (916) 487-8332
Phone(916) 487-5160
Fax(916) 487-8332
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJune 19, 2008
✔ NPI 1699804492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 35625
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.
1611 EXECUTIVE CT STE 200, Sacramento, CA 95864
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Other Names 1

Professional Name (2)Dr. Bobby Carl Kennedy D.d.s.

Other Identifiers 1

MedicaidB3562501CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

KENNEDY FAMILY DENTISTRY, INC
Health Maintenance Organization
1611 EXECUTIVE CT STE 200
SACRAMENTO, CA 95864
Sacramento County (916) 487-5160

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 Bobby Kennedy's NPI number?

The NPI number for Bobby Kennedy is 1699804492. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. Bobby Carl Kennedy D.D.S..

Where is Bobby Kennedy located?

Bobby Kennedy practices at 1611 Executive Ct Ste 200, Sacramento, CA 95864. The listed phone number is (916) 487-5160.

What is Bobby Kennedy's specialty?

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

What insurance does Bobby Kennedy accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Bobby Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bobby Kennedy was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.