IndividualActive
Jacob Kennedy, DDS
NPI 1154196848 · General Practice Dentistry · Port Angeles, WA
Jacob Kennedy, DDS is a General Practice Dentistry provider in Port Angeles, WA (NPI 1154196848).
Provider details
- NPI number
- 1154196848
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 70017745 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
620 E 8th St
Port Angeles, WA 98362-6224
Phone: (360) 216-6166
Street-level locationGet directions
Mailing address
756 High Country Dr
Port Angeles, WA 98362-7493
Registry dates
- Enumerated
- 2023-11-22
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Frequently asked questions
- What is Jacob Kennedy's NPI number?
- Jacob Kennedy's National Provider Identifier (NPI) is 1154196848, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Kennedy's specialty?
- Jacob Kennedy is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jacob Kennedy located?
- Jacob Kennedy's practice location on file with NPPES is 620 E 8th St, Port Angeles, WA 98362-6224.
- What is Jacob Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Jacob Kennedy is (360) 216-6166.
- Is Jacob Kennedy's NPI active?
- Yes — Jacob Kennedy's NPI (1154196848) is active in the NPPES registry as of the last update on 2025-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.