Individual provider Active NPI

John David Kempton, DDS, MS

  • Pediatric Dentistry
  • Yuma, AZ
National Provider Identifier
1235395880
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D008508 Issued in AZ
Practice address
538 E 16TH St
Ste. 101
Yuma, AZ 85365-2028
Phone
(928) 304-7100
Fax
(928) 304-7105
NPI assigned
Aug 4, 2008
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23655 TX
Pediatric Dentistry 1223P0221X 7788150-9922 UT
Pediatric Dentistry 1223P0221X D008508 AZ Primary

Addresses

Primary practice location

538 E 16TH St
Ste. 101
Yuma, AZ 85365-2028

Mailing address

538 E 16TH St
Ste. 101
Yuma, AZ 85365-2028
Phone (928) 304-7100

Other identifiers 1

IdentifierTypeStateIssuer
584421MedicaidAZ

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
Master of Science

State licenses

LicenseStateTypeSpecialty
23655TXMDGeneral Practice Dentistry
D008508AZMDPediatric Dentist
7788150-9922UTMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1235395880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 E 16TH ST",
            "address_2": "STE. 101",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652028",
            "telephone_number": "928-304-7100",
            "fax_number": "928-304-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 E 16TH ST",
            "address_2": "STE. 101",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652028",
            "telephone_number": "928-304-7100",
            "fax_number": "928-304-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23655",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "7788150-9922",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584421",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.