Individual provider Active NPI

Brooke Elizabeth Ruth Kemppainen

  • General Practice Dentistry
  • Suamico, WI
National Provider Identifier
1508797028
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6002128-15 Issued in WI
Practice address
2855 Carolina Cherry Dr
Suamico, WI 54313-3269
Phone
(920) 499-8888
NPI assigned
May 25, 2026
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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 6002128-15 WI Primary

Addresses

Primary practice location

2855 Carolina Cherry Dr
Suamico, WI 54313-3269

Mailing address

2146 Cormorant LN
Suamico, WI 54313-4015
Phone (920) 615-5200

Other practice location 1

565 Larsen Orchard Pkwy
Hobart, WI 54155-7000
Phone (920) 865-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6002128-15WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1508797028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 CORMORANT LN",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "543134015",
            "telephone_number": "920-615-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAROLINA CHERRY DR",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "543133269",
            "telephone_number": "920-499-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Larsen Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "WI",
            "postal_code": "541557000",
            "country_code": "US",
            "telephone_number": "920-865-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPPAINEN",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6002128-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suamico, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.