Kevin P. Kallmeyer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-02-0356 Issued in OH

Practice address

5765 S State Route 48
Suite 101
Maineville, OH 45039-8033

Phone

(513) 494-2833

Fax

(513) 494-0103

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043305006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5765 S STATE ROUTE 48",
            "address_2": "SUITE 101",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398033",
            "telephone_number": "513-494-2833",
            "fax_number": "513-494-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 S STATE ROUTE 48",
            "address_2": "SUITE 101",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398033",
            "telephone_number": "513-494-2833",
            "fax_number": "513-494-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLMEYER",
        "first_name": "KEVIN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-02-0356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Johnson, PHARMD
• Sabrina Kimberly-Howell Johnson, PTA
• Logan Christopher Jones
• Donna Kahle, LSW, CCDCI
• Jennifer Lynn Kakani, PHARM D, RPH
• Dawn Marie Kamlage, LPN
• Emily Kau
• Sabina Khakimova
• Julia N Kinda, PHARMD
• Katherine Lynn Korst

• General Practice Dentistry in Maineville, OH
• Providers in Maineville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.