Active NPI
Audrey Kemp
- Public Health Dentistry
- Prospect Hill, NC
National Provider Identifier
1114060571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 8281
- Practice address
- 322 Main Street
Prospect Hill, NC 27314 - Phone
- (336) 562-3123
- NPI assigned
- Feb 15, 2007
- Last updated
- May 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 8281 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 8281 | NC |
Addresses
Primary practice location
322 Main Street
Prospect Hill, NC 27314
Mailing address
134 Victorian Oaks Dr
Durham, NC 27713-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5917625 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140902001246 | NC | Order and Referring Only - Maxillofacial Surgery | 3779701800 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8281 | NC | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1114060571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 VICTORIAN OAKS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277133141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MAIN STREET",
"city": "PROSPECT HILL",
"state": "NC",
"postal_code": "27314",
"telephone_number": "336-562-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "AUDREY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "8281",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5917625",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prospect Hill, NC
- Kelly Draughn Clayton, RPH
- Christina Olson Cronk
- Madison Fazzolare, PA-C
- Joan Floyd, RPH
- Homes That Care, Inc.
- Katrina Chaundani Mattison, D.D.S.
- Sean Angela Williams Meltzer, D.M.D.
- Piedmont Health Services, Inc. (Prospect Hill Community Health Center)
- Piedmont Health Services, Inc. (Prospect Hill CHC Dental)
- Piedmont Health Services, Inc. (Prospect Hill CHC Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.