Ira K Kamp, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0033934 Issued in NY

Practice address

4 Sanctuary Dr
Ithaca, NY 14850-1976

Phone

(607) 351-2412

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ira Kamp DDS

  • Durable Medical Equipment & Medical Supplies
  • Ithaca, NY
  • NPI 1558847533
  NPD Authorized official
• Kerry Kelly D.D.S., P.C.

  • Dentist
  • Ithaca, NY
  • NPI 1700355849
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1457425456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-351-2412",
            "fax_number": "607-273-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANCTUARY DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501976",
            "telephone_number": "607-351-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 N Tioga St",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "14850",
            "country_code": "US",
            "telephone_number": "607-272-4331",
            "fax_number": "607-273-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMP",
        "first_name": "IRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0033934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ithaca",
            "affiliation": "N",
            "address_1": "4 Sanctuary Dr",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148501976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael June, RN
• Edison Jyang, M.D.
• Jeffrey P Kadlecik, D.P.M.
• Parkavi Kalaiselvan, MD
• Faris Moh'D Mahdi Alhaj Sa Kamal, MD
• Laurie Conklin Kamp, LMHC
• Rita Michelle Kanaar
• Yangmi Kang, PH.D, ATC
• Ann Axtell Kanter, B.A., BCABA
• Elisabeth Lehman Kaplan, LMSW

• Dentist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.