Individual provider Active NPI

Kamme Lynne Jeffries, D.D.S.

  • General Practice Dentistry
  • Worland, WY
National Provider Identifier
1346440534
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1005 Issued in WY
Practice address
3313 Paintbrush Lane
Worland, WY 82401
Phone
(307) 347-3994
Fax
(307) 347-3697
NPI assigned
Jul 25, 2007
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1005 WY Primary

Addresses

Primary practice location

3313 Paintbrush Lane
Worland, WY 82401

Mailing address

3313 Paintbrush Lane
Worland, WY 82401
Phone (307) 347-3994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616002562 WY Order and Referring Only - DentistPractitioner - Dentist 0244521581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1005WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffries Dental, P.C. General Practice CurrentSince Sep 13, 2020 Accepting new patients

Locations

1409 Howell Ave
Worland, WY 82401
Phone (307) 349-6163

3313 Paintbrush Ln
Worland, WY 82401
Phone (307) 347-3994

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1346440534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 PAINTBRUSH LANE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-3994",
            "fax_number": "307-347-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 PAINTBRUSH LANE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-3994",
            "fax_number": "307-347-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "KAMME",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

Verify at the official NPI Registry.