Individual provider Active NPI

Kerry Patrick Wermuth, DMD

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1568154227
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-007622-C1 Issued in AL
Practice address
1111 Gleneagles Dr SW Ste C
Huntsville, AL 35801-7418
Phone
(256) 650-1190
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D-007622-C1 AL Primary

Addresses

Primary practice location

1111 Gleneagles Dr SW Ste C
Huntsville, AL 35801-7418

Mailing address

1111 Gleneagles Dr SW Ste C
Huntsville, AL 35801-7418
Phone (256) 650-1190

Other practice location 1

2288 Zierdt Rd SW Ste F
Huntsville, AL 35824-1901
Phone (256) 461-9999

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

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568154227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLENEAGLES DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017418",
            "telephone_number": "256-650-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLENEAGLES DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017418",
            "telephone_number": "256-650-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Zierdt Rd SW Ste F",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358241901",
            "country_code": "US",
            "telephone_number": "256-461-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERMUTH",
        "first_name": "KERRY",
        "middle_name": "PATRICK",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-007622-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.