P Praxis·MD
● Active Type 1 · Individual

DR. Alexandra Ricker Kennedy, DDS, MS

Dentist·Tyler, TX· NPI 1891347951 · Enumerated 2019 · 6 years on NPI
Kennedy is 1 of 7 dentist providers in Tyler and 1 of 625 in Texas.
NPI age
6 years
Enumerated 2019-07-09
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 625 active dentist providers in Texas.

NPI age
6 years
↓ 11 yr below median (17 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
3805 Brookside Dr
Tyler, TX 757019421
📞 9035812900fax 9035090160
Mailing address
3805 Brookside Dr
Tyler, TX 757019421
📞 9035812900fax 9035090160

Specialties

  • Dentist Primary
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    TX license #35680 taxonomy 1223P0300X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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