DR. JOHN MICHAEL KEARNEY D.D.S. NPI 1447217047

NPI Information

NPI: 1447217047
Provider Name: DR. JOHN MICHAEL KEARNEY, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
610 YALE PL
CANON CITY, CO
ZIP 81212
Phone: (719) 275-4474
Get Directions

DR. John Michael Kearney, D.D.S. is a general practice dentist in Canon City, CO. The provider is 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. DR. John Michael Kearney, D.D.S. NPI is 1447217047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 YALE PL
CANON CITY, CO
ZIP 81212-611
Phone: (719) 275-4474
Fax: (719) 275-1010

The enumeration date for this NPI number is 4/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	HD1-00642	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	713135	OTHER		UNITED CONCORDIA INSURANC
2	COTP22046A	MEDICARE ID-TYPE UNSPECIFIED	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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