Individual provider Active NPI

Gregory Alan Kammeyer, DDS

  • Dentist
  • Sun City West, AZ
National Provider Identifier
1003022039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5319 Issued in AZ
Practice address
13920 W Camino del Sol Ste 11
Sun City West, AZ 85375-4438
Phone
(623) 556-5442
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5319 AZ Primary

Addresses

Primary practice location

13920 W Camino del Sol Ste 11
Sun City West, AZ 85375-4438

Mailing address

13920 W Camino del Sol Ste 11
Sun City West, AZ 85375-4438
Phone (623) 556-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5319AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Implant and Periodontics Solutions, PLLC PastSince Dec 14, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003022039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 W CAMINO DEL SOL STE 11",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754438",
            "telephone_number": "623-556-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 W CAMINO DEL SOL STE 11",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754438",
            "telephone_number": "623-556-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMEYER",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.