Individual provider Active NPI

Karen Rose Kamer, DMD,MS

  • Endodontics
  • Fishers, IN
National Provider Identifier
1053513283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12010821A Issued in IN
Practice address
8489 Fishers Center Dr
Fishers, IN 46038-2318
Phone
(317) 578-2224
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

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
Endodontics 1223E0200X 12010821A IN Primary

Addresses

Primary practice location

8489 Fishers Center Dr
Fishers, IN 46038-2318

Mailing address

4128 Wythe LN
Indianapolis, IN 46250-4224
Phone (317) 750-3855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12010821AINMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Anesthesia Services, LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053513283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 WYTHE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504224",
            "telephone_number": "317-750-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8489 FISHERS CENTER DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382318",
            "telephone_number": "317-578-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMER",
        "first_name": "KAREN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12010821A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • 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.