Individual provider Active NPI

Gregory Bert Kempers, D.D.S

  • Dentist
  • Parker, CO
National Provider Identifier
1255530614
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9444 Issued in CO
Practice address
11355 S Parker Rd
Suite 105
Parker, CO 80134-7700
Phone
(303) 805-3655
Fax
(303) 805-3871
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 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 9444 CO Primary

Addresses

Primary practice location

11355 S Parker Rd
Suite 105
Parker, CO 80134-7700

Mailing address

11355 S Parker Rd
Suite 105
Parker, CO 80134-7700
Phone (303) 805-3655

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
9444COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1255530614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11355 S PARKER RD",
            "address_2": "SUITE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347700",
            "telephone_number": "303-805-3655",
            "fax_number": "303-805-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 S PARKER RD",
            "address_2": "SUITE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347700",
            "telephone_number": "303-805-3655",
            "fax_number": "303-805-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPERS",
        "first_name": "GREGORY",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

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