NPIMap

Individual provider Active NPI

Brian V Kerr, DMD PS

  • Dentist
  • Lakewood, WA
National Provider Identifier
1174608426
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7935 Issued in WA
Practice address
8520 Steilacoom Blvd SW
Suite 202
Lakewood, WA 98498
Phone
(253) 584-6200
Fax
(253) 984-6424
NPI assigned
Oct 26, 2006
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7935 WA Primary

Addresses

Primary practice location

8520 Steilacoom Blvd SW
Suite 202
Lakewood, WA 98498

Mailing address

8520 Steilacoom Blvd SW
Suite 202
Lakewood, WA 98498
Phone (253) 584-6200

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
7935WAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Kerr DMD PS Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1174608426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 STEILACOOM BLVD SW",
            "address_2": "SUITE 202",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-584-6200",
            "fax_number": "253-984-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 STEILACOOM BLVD SW",
            "address_2": "SUITE 202",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-584-6200",
            "fax_number": "253-984-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "BRIAN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "7935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.