Active NPI
Kathleen A Meehan-Kiermeier, D.M.D., M.S.
- Periodontics
- Voorhees, NJ
National Provider Identifier
1245445931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22DIO2037200
- Practice address
- 1000 White Horse Rd
Suite 916
Voorhees, NJ 08043-4406 - Phone
- (856) 435-7400
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22DIO2037200 | NJ | Primary |
Addresses
Primary practice location
1000 White Horse Rd
Suite 916
Voorhees, NJ 08043-4406
Mailing address
1000 White Horse Rd
Suite 916
Voorhees, NJ 08043-4406
Phone (856) 435-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 8, 2016 through Jun 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DIO2037200 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245445931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WHITE HORSE RD",
"address_2": "SUITE 916",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434406",
"telephone_number": "856-435-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WHITE HORSE RD",
"address_2": "SUITE 916",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434406",
"telephone_number": "856-435-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN-KIERMEIER",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DIO2037200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.