Organization Active NPI

Karem Dental and Aesthetics

  • General Practice Dentistry
  • Shelbyville, KY
National Provider Identifier
1104495647
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KAREM DENTAL AND AESTHETICS
Practice address
627 Washington St
Shelbyville, KY 40065-1131
Phone
(502) 633-3735
Fax
(502) 633-3737
NPI assigned
Jun 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Authorized official

Name
Grace Karem, DMDNPI 1811427883
Title
Tin Owner
Phone
(502) 633-3735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

627 Washington St
Shelbyville, KY 40065-1131

Mailing address

627 Washington St
Shelbyville, KY 40065-1131
Phone (502) 633-3735

National Provider Directory

National Provider Directory

Locations

627 Washington St
Shelbyville, KY 40065
Phone (502) 633-3735

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1104495647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651131",
            "telephone_number": "502-633-3735",
            "fax_number": "502-633-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651131",
            "telephone_number": "502-633-3735",
            "fax_number": "502-633-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREM DENTAL AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "KAREM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "TIN OWNER",
        "authorized_official_telephone_number": "502-633-3735",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.