Thomas R Kempf, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3319 Issued in ND

Practice address

400 22ND Ave NW
Minot, ND 58703-1071

Phone

(701) 857-0707

Fax

(701) 857-3552

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ward County

  • Social Worker
  • Minot, ND
  • NPI 1396168837
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1144310285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031071",
            "telephone_number": "701-857-0707",
            "fax_number": "701-857-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031071",
            "telephone_number": "701-857-0707",
            "fax_number": "701-857-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPF",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "26393",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74018",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista C Kelly, D.C.
• Michael A Kelly Jr., D.C.
• Michael G Kelly, D.C.
• Samantha Kay Kemmer, DC
• Lindell C Kemmet, DDS
• Kevin Christopher Kennedy, DO
• Jesse Daniel Keogh, DC
• Robyn Lee Keplin
• David S. Kessler, D.C.
• David George Keup, DDS

• All providers in Minot, ND
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.