Organization Active NPI

Arthur R Kremer D D S P C

  • Dentist
  • Herscher, IL
National Provider Identifier
1487825915
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019023273 Issued in IL
Legal business name
ARTHUR R KREMER D D S P C
Practice address
5 Tobey Dr
Herscher, IL 60941-9498
Phone
(815) 426-2611
NPI assigned
Mar 12, 2008
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mr. Arthur R. Kremer, D.D.S.NPI 1083673438
Title
Dentist
Phone
(815) 426-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019023273 IL Primary

Addresses

Primary practice location

5 Tobey Dr
Herscher, IL 60941-9498

Mailing address

5 Tobey Dr
Herscher, IL 60941-9498
Phone (815) 426-2611

Other identifiers 1

IdentifierTypeStateIssuer
101863OtherILPAYEE ID

National Provider Directory

National Provider Directory

Locations

5 Tobey Dr
Herscher, IL 60941
Phone (815) 426-2611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1487825915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TOBEY DR",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "609419498",
            "telephone_number": "815-426-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TOBEY DR",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "609419498",
            "telephone_number": "815-426-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR R KREMER D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-426-2611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAYEE ID",
            "identifier": "101863",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herscher, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.