Kristen Kemmer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901022527 Issued in MI

Practice address

2017 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8872

Phone

(616) 281-0220

Fax

(616) 281-8333

NPI assigned

Jul 20, 2015

Sex

Female

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

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.

• Kristen M. Kemmer, DDS, PLC

  • Dental Clinic/Center
  • Grand Rapids, MI
  • NPI 1376114561
  NPD Authorized official
• H. Keith Treiber DDS Family Dentistry PC

  • General Practice Dentistry
  • Lakeview, MI
  • NPI 1467566752
  NPD (past)
• H. Keith Treiber, DDS Family Dentistry P. C.

  • Dentist
  • Lakeview, MI
  • NPI 1922485994
  NPD (past)
• Jack E. Sherman, D.D.S. a Professional Corporation

  • Dentist
  • San Francisco, CA
  • NPI 1154411239
  NPD (past)
• Rosa Mathai DMD, Inc

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1275358129
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1457735482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 EASTCASTLE DR SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088872",
            "telephone_number": "616-281-0220",
            "fax_number": "616-281-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 EASTCASTLE DR SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088872",
            "telephone_number": "616-281-0220",
            "fax_number": "616-281-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeview",
            "state": "MI",
            "postal_code": "488505004",
            "country_code": "US",
            "telephone_number": "989-352-7752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6332 Geary Blvd",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941211824",
            "country_code": "US",
            "telephone_number": "415-668-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "597 Baldwin St",
            "address_purpose": "LOCATION",
            "city": "Jenison",
            "state": "MI",
            "postal_code": "49428",
            "country_code": "US",
            "telephone_number": "616-226-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMMER",
        "first_name": "KRISTEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64768",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Kelsey
• Shelby Eleanor Kelsh, PHARMD
• Sarah E Kelso, APN/CPNP
• Ryan Kelting, M.D.
• Megan Kathleen Kemink, DDS
• Paul Kemmeter, MD
• Tyler R Kemnic, DO
• Christina M Kemp, NP
• Jasmine Kemp
• Megan Mae Kemp

• All providers in Grand Rapids, MI
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.