Active NPI
Kevin James Emery, M.T.
- Specialist
- Carpentersville, IL
National Provider Identifier
1174920128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 227008088
- Practice address
- 149 Maple Tree LN
Carpentersville, IL 60110-1455 - Phone
- (303) 229-8113
- NPI assigned
- Nov 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT.0009248 | CO | |
| Specialist | 174400000X | 227008088 | IL | Primary |
Addresses
Primary practice location
149 Maple Tree LN
Carpentersville, IL 60110-1455
Mailing address
149 Maple Tree LN
Carpentersville, IL 60110-1455
Phone (303) 229-8113
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0009248 | CO | MD | Specialist |
| 227008088 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1174920128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 MAPLE TREE LN",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "601101455",
"telephone_number": "303-229-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 MAPLE TREE LN",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "601101455",
"telephone_number": "303-229-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "MT.0009248",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "227008088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carpentersville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.