Derek Reid Kerr, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09259 Issued in IA

Practice address

148 W Jefferson St
Osceola, IA 50213-1286

Phone

(641) 342-6541

NPI assigned

Jun 18, 2012

Last updated

Jan 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kerr Family Dental

  • Dental Clinic/Center
  • Osceola, IA
  • NPI 1942849963
  NPD (past) Authorized official
• Bruce a. Harris, D.D.S.

  • Dental Clinic/Center
  • Osceola, IA
  • NPI 1568629947
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1396008132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W JEFFERSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131286",
            "telephone_number": "641-342-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W JEFFERSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131286",
            "telephone_number": "641-342-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "DEREK",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09259",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012018222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jacobs, CRNA
• Julia C Jenkins, DO
• John W Meyer, DDS, P.C. (Clarke County Dental Health Center)
• Roger Erven Kentner, RPH
• Kerr Family Dental
• Valerie Ann Knedler, ARNP
• Megan T Kohler, ARNP
• Travis Lee Krutsinger, PTA
• Erik Kyler, O.D.
• Joselle Beth Lawless, FNP-BC

• Dentist in Osceola, IA
• Providers in Osceola, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.