Kemple Memorial Children'S Dental Clinic

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

D6517 Issued in OR

Legal business name

KEMPLE MEMORIAL CHILDREN'S DENTAL CLINIC

Practice address

1029 NW 14TH St Ste 101
Bend, OR 97703-2189

Phone

(541) 617-1653

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Debbi Smith

Title

Program Manager

Phone

(541) 617-1653

Specialties & licenses 1

Addresses

Other names 1

• Kemple Clinic Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lana Terene Austin

  • Voluntary or Charitable Agency
  • Bend, OR
  • NPI 1578120655
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1538516265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 NW 14TH ST STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032189",
            "telephone_number": "541-617-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NW 14TH ST STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032189",
            "telephone_number": "541-617-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPLE MEMORIAL CHILDREN'S DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-617-1653"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OR",
            "license": "D6517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kemple Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kemple Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Marie Kelly, DPT
• Kara Lynn Kelly, N.P.
• Linda J Kelly, LCSW
• Lindsey Rhodes Kelly, RDN
• Crystal Kelso, DMD
• Cheryl L Kemry, LMT
• Fredrick Frank Kennaday, RN
• Lisa Marie Kennedy-Leary, PT
• Kenya Marie Kennedy, LMT
• Kindra Michelle Kennedy, CPM, LDM, IBCLC

• Voluntary or Charitable Agency in Bend, OR
• Providers in Bend, OR by specialty
• Voluntary or Charitable Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.