William E Kemper, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5479 Issued in KY

Practice address

9610 Taylorsville Rd
Jeffersontown, KY 40299-2737

Phone

(502) 267-6419

Fax

(502) 267-6163

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

Yes

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.

• Maria Claire Brown DMD PSC

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1104793306
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in KY

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

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2009.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1528044336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 TAYLORSVILLE RD",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402992737",
            "telephone_number": "502-267-6419",
            "fax_number": "502-267-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 TAYLORSVILLE RD",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402992737",
            "telephone_number": "502-267-6419",
            "fax_number": "502-267-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "5479",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffersontown Medical PLLC
• Jeffersontown Opco, LLC
• Ebboni Johnson, TCADC
• Caroline Sue Jones, LPN
• Amanda M Kemp
• Kentucky CVS Pharmacy, L.L.C
• Neil Langschied, D.C.
• Haley Rose Lautenbach, LPCA
• M&M Meds Inc
• Vanessa Marie Martinez, TCADC

• All providers in Jeffersontown, KY
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.