Active NPI
Mariah Rose Kemmer
- Dental Hygienist
- Park Rapids, MN
National Provider Identifier
1164800322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H9565
- Practice address
- 19033 US 71
Park Rapids, MN 56470-3202 - Phone
- (218) 732-3291
- NPI assigned
- May 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H9565 | MN | Primary |
Addresses
Primary practice location
19033 US 71
Park Rapids, MN 56470-3202
Mailing address
19033 US 71
Park Rapids, MN 56470-3202
Phone (218) 732-3291
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
| License | State | Type | Specialty |
|---|---|---|---|
| H9565 | MN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Rapids Family Dental PLLC | Past | Accepting new patients | |
| David E Andersen DDS PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Park Rapids, MN
- NPI 1346365095
-
- General Practice Dentistry
- Park Rapids, MN
- NPI 1033739248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1164800322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19033 US 71",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564703202",
"telephone_number": "218-732-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19033 US 71",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564703202",
"telephone_number": "218-732-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMMER",
"first_name": "MARIAH",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H9565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.