Individual provider Active NPI

Richard J Kemp, BS DC

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1316033848
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0001845 Issued in WI
Practice address
10855 West Park Place
Suite 9
Milwaukee, WI 53224
Phone
(414) 359-0300
Fax
(414) 359-0303
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0001845 WI Primary

Addresses

Primary practice location

10855 West Park Place
Suite 9
Milwaukee, WI 53224

Mailing address

10855 West Park Place
Suite 9
Milwaukee, WI 53224
Phone (414) 359-0300

Other identifiers 2

IdentifierTypeStateIssuer
38788300MedicaidWI
391452273017OtherWIBCBS

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)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
0001845WIMDChiropractor
1845WIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1316033848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 WEST PARK PLACE",
            "address_2": "SUITE 9",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "414-359-0300",
            "fax_number": "414-359-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 WEST PARK PLACE",
            "address_2": "SUITE 9",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "414-359-0300",
            "fax_number": "414-359-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "BS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "0001845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38788300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "391452273017",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.