Individual provider Active NPI

Thomas George Kempken, M.D.

  • Specialist
  • Tucson, AZ
National Provider Identifier
1104088384
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15871-020 Issued in WI
Practice address
5991 N Golden Eagle Dr
Tucson, AZ 85750-0818
Phone
(520) 529-2208
Fax
(520) 529-2208
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 15871-020 WI
Specialist 174400000X 15871-020 WI Primary

Addresses

Primary practice location

5991 N Golden Eagle Dr
Tucson, AZ 85750-0818

Mailing address

5991 N Golden Eagle Dr
Tucson, AZ 85750-0818
Phone (520) 529-2208

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15871-020WIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1104088384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 N GOLDEN EAGLE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500818",
            "telephone_number": "520-529-2208",
            "fax_number": "520-529-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 N GOLDEN EAGLE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500818",
            "telephone_number": "520-529-2208",
            "fax_number": "520-529-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPKEN",
        "first_name": "THOMAS",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WI",
            "license": "15871-020",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "15871-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.