Individual provider Active NPI

Kathryn Mault Kemp, D.D.S

  • General Practice Dentistry
  • Westerville, OH
National Provider Identifier
1578634671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20106 Issued in OH
Practice address
509 S Otterbein Ave
Westerville, OH 43081-2951
Phone
(614) 882-7555
Fax
(614) 882-0738
NPI assigned
Nov 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20106 OH Primary

Addresses

Primary practice location

509 S Otterbein Ave
Westerville, OH 43081-2951

Mailing address

509 S Otterbein Ave
Westerville, OH 43081-2951
Phone (614) 882-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160715002036 OH Order and Referring Only - DentistPractitioner - Dentist 9133411879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20106OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578634671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812951",
            "telephone_number": "614-882-7555",
            "fax_number": "614-882-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812951",
            "telephone_number": "614-882-7555",
            "fax_number": "614-882-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "KATHRYN",
        "middle_name": "MAULT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.