Douglas G Kerr, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D6332 Issued in AZ

Practice address

3345 E Bell Rd
Ste 1
Scottsdale, AZ 65254

Phone

(480) 607-3600

Fax

(480) 998-9289

NPI assigned

Oct 19, 2005

Last updated

Oct 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1326037524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12164 W FLORENCE ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532746",
            "telephone_number": "623-221-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 E BELL RD",
            "address_2": "STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "65254",
            "telephone_number": "480-607-3600",
            "fax_number": "480-998-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D6332",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2000165443",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "9025376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909997",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kenz, MS, CCC-SLP
• Nandita Sabnis Keole, MD
• Sameer R Keole, MD
• Katelyn Janice Keresey
• Jaculin Kerouac, AGACNP
• Jason Rolfe Kerr, M.D.
• Karen Kerr, SLPA
• Roberta Ellen Kerr, DMD, MPH, MS
• Kerri L Burgess DC PC (Chiropractic Village)
• Kabrina Kershaw, PHARMD

• Pediatric Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.