Active NPI
David Kemppainen, LICENSE CLINICAL
- Clinic/Center
- Reno, NV
National Provider Identifier
1235489071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Practice address
- 1715 Kuenzli St
Reno, NV 89502-1117 - Phone
- (775) 329-5162
- Fax
- (775) 334-4358
- NPI assigned
- Sep 19, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00200-LC | MI | |
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1715 Kuenzli St
Reno, NV 89502-1117
Mailing address
1715 Kuenzli St
Reno, NV 89502-1117
Phone (775) 329-5162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886004349 | Medicaid | NV |
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 |
|---|---|---|---|
| 00200-LC | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1235489071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 KUENZLI ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021117",
"telephone_number": "775-329-5162",
"fax_number": "775-334-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 KUENZLI ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021117",
"telephone_number": "775-329-5162",
"fax_number": "775-334-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPPAINEN",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LICENSE CLINICAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "00200-LC",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886004349",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.