Individual provider Active NPI

Kenneth J Kerman, D.M.D.

  • Endodontics
  • Deerfield Beach, FL
National Provider Identifier
1164543070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN 0011470 Issued in FL
Practice address
1348 E Hillsboro Blvd
Suit B
Deerfield Beach, FL 33441-4206
Phone
(954) 428-0081
Fax
(954) 482-4470
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN 0011470 FL Primary

Addresses

Primary practice location

1348 E Hillsboro Blvd
Suit B
Deerfield Beach, FL 33441-4206

Mailing address

1348 E Hillsboro Blvd
Suit B
Deerfield Beach, FL 33441-4206
Phone (954) 428-0081

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

State licenses

LicenseStateTypeSpecialty
DN 0011470FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164543070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 E HILLSBORO BLVD",
            "address_2": "SUIT B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414206",
            "telephone_number": "954-428-0081",
            "fax_number": "954-482-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 E HILLSBORO BLVD",
            "address_2": "SUIT B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414206",
            "telephone_number": "954-428-0081",
            "fax_number": "954-482-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMAN",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN 0011470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.