Jennifer Ann Kerns, BS, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902011838 Issued in MI

Practice address

630 W Fourteenth St
Traverse City, MI 49684-4050

Phone

(231) 632-2238

NPI assigned

Oct 6, 2010

Sex

Female

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

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• United We Smile

  • Dental Clinic/Center
  • Traverse City, MI
  • NPI 1114630415
  NPD Authorized official

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1063721207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W FOURTEENTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844050",
            "telephone_number": "231-632-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W FOURTEENTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844050",
            "telephone_number": "231-632-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BS, RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902011838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tate Kern, D.O.
• William Thomas Kern, MD
• Austin Kerndt, M.D.
• Charles Kerndt, M.D.
• Jessica Leigh Kernodle, PA-C
• John S Kerns, DDS
• Brian James Kerr, M.D.
• Kersti M Bruining MD PLLC
• Nicole Ketcik
• Taylor Ketelaar

• Dental Hygienist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.