Kendall S Woolridge D,D,S PC
Kendall S Woolridge D,D,S PC is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in El Segundo, CA, holding Type 2 (organization) NPI 1609149533 since 2012. The authorized official on file is Kendall Woolridge, Owner/Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609149533 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kendall S Woolridge D,D,S PC |
| Other name | <Unavail> |
| Practice address | 310 E GRAND AVE STE 106, El Segundo, CA, 90245 |
| Phone | 3106488781 |
| Fax | 3106488776 |
| Enumeration date | 2012-02-23 |
| Last updated in NPPES | 2021-10-05 |
Authorized official
| Name | Kendall Woolridge |
|---|---|
| Title | Owner/Dentist |
| Phone | 3106488781 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | 57096 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104006196 | Other | CA | INDIVIDUAL NPI |
| 1609159533 | Other | CA | TYPE 2 NPI |
Copy-ready billing details
Provider: Kendall S Woolridge D,D,S PC NPI: 1609149533 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 310 E GRAND AVE STE 106, El Segundo, CA, 90245
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104006196 | Kendall Woolridge | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | El Segundo, CA |
Verify this record
Cross-check NPI 1609149533 against the authoritative CMS record: view Kendall S Woolridge D,D,S PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Kendall S Woolridge D,D,S PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-10-05.