Dr. Paul Alexander Kennedy III, DDS
Dentist, Pediatric Dentistry in Corpus Christi, TX. Individual provider (NPI-1).
NPI number1376568469
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1376568469
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Alexander Kennedy III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 20778 | TX | Yes |
Practice location
6200 Saratoga BlvdCorpus Christi, TX 78414-3421
Phone 361-992-9500 · Fax 361-992-1862
Mailing address
6200 Saratoga BlvdCorpus Christi, TX 78414-3421
Phone 361-992-9500 · Fax 361-992-1862
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Pediatric Dentistry providers in Corpus Christi · All 7,478 providers in Corpus Christi
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