Arthur R Kremer, D.D.S.
Individual provider Active NPI General Practice Dentistry · Herscher, IL
NPI 1083673438 · NPPES record last updated Dec 30, 2014
Key facts
- NPI
- 1083673438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019023273 (IL)
- Practice address
- 5 Tobey Dr
Herscher, IL 60941-9498 - Phone
- (815) 426-2611
- Fax
- (815) 426-2612
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150609002927 | IL | Order and Referring Only - Dentist |
6002137502 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019023273 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur R Kremer D D S P C | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019023273 | IL | Yes |
Addresses
Primary practice location
5 Tobey Dr
Herscher, IL 60941-9498
Mailing address
5 Tobey Dr
Herscher, IL 60941-9498
Phone (815) 426-2611
Other providers in Herscher, IL
- Jennifer Christenson
- County West Physicial Therapy, PC
- Clyde W. Dayhoff Jr.
- Herscher Community Unit School District #2
- Kristen L Jones
- Long Family Development LLC
- Jeffery Long
- Patrick Hale Long
- Dana M Masching
- Medical Group of Kankakee County
All providers in Herscher, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.