Individual provider Active NPI

Arthur R Kremer, D.D.S.

  • General Practice Dentistry
  • Herscher, IL
National Provider Identifier
1083673438
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023273 Issued in IL
Practice address
5 Tobey Dr
Herscher, IL 60941-9498
Phone
(815) 426-2611
Fax
(815) 426-2612
NPI assigned
Mar 22, 2006
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019023273 IL Primary

Addresses

Primary practice location

5 Tobey Dr
Herscher, IL 60941-9498

Mailing address

5 Tobey Dr
Herscher, IL 60941-9498
Phone (815) 426-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609002927 IL Order and Referring Only - DentistPractitioner - Dentist 6002137502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur R Kremer D D S P C 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, 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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1083673438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TOBEY DR",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "609419498",
            "telephone_number": "815-426-2611",
            "fax_number": "815-426-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TOBEY DR",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "609419498",
            "telephone_number": "815-426-2611",
            "fax_number": "815-426-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "ARTHUR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herscher, IL

Sources for this page

Verify at the official NPI Registry.