Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629906607 Individual Practitioner Female Practitioner

Dr. Kenedi Lynn Holck , DDS

Dentist - General Practice • Lees Summit, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kenedi Holck, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lees Summit, MO. Practice services are available at 1680 NW CHIPMAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1680 Nw Chipman Rd

Lees Summit, MO 640813934

Telephone 8166003722
Associated Practice Facility / Clinic
🏢 Gargano Dental Enterprise Llc Facility NPI 1386482156

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
47 Specialists

Practicing in Lees Summit, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2026021749

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Saad Tarar

Dentist

NPI 1720684061
Dr. Wed Khizirpour , DDS

Dentist - General Practice

NPI 1790303774

Doctor of Dental Surgery

NPI 1942949862

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2026

Registered at 1680 NW CHIPMAN RD, LEES SUMMIT, MO 640813934 (Tel: 8166003722)

📍
Updated Business Mailing Address May 21, 2026

Registered at 2645 PARK PLACE CIR, FREMONT, NE 680253793 (Tel: 4026205916)

👤
Provider Name / Credentials Updated May 21, 2026

Recorded as KENEDI HOLCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Dentist (License #2026021749 in MO)

🟢
Initial NPI Registration & Enumeration May 11, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629906607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2026
Last Update: May 21, 2026
Sole Proprietor: No

Mailing Address

2645 Park Place Cir

Fremont, NE 680253793

Phone: 4026205916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.