Ian Jameson Kaemmer, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DGD.8272 Issued in SC

Practice address

59 DG-Af Postgraduate Dental School
2133 Pepperrell St. BLDG #3352
Jbsa-Lackland, TX 78236

Phone

(210) 292-6258

Fax

(210) 292-2618

NPI assigned

Aug 1, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1124450036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DG-AF POSTGRADUATE DENTAL SCHOOL",
            "address_2": "2133 PEPPERRELL ST. BLDG #3352",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-6258",
            "fax_number": "210-292-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 Boulevard De France",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "29902",
            "country_code": "US",
            "telephone_number": "843-228-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAEMMER",
        "first_name": "IAN",
        "middle_name": "JAMESON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8272 GD",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "DGD.8272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Jones II, PHD
• Rodney M Jorstad, PHARMD
• Pamela Ines Jumbo Cueva, MD
• Kelsey Shae Junek, MD
• Sonia Ines Jurado, LCSW
• Sheryl Kane, DDS
• Sazal Kapoor
• Simi Kapoor, M.D.
• Stephen Dunford Kasteler, M.D., MPH
• Ryan Lee Kastern, MPAS, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Jbsa-Lackland, TX
• Providers in Jbsa-Lackland, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.