Kamren Alese Joe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4150-20 Issued in MS

Practice address

4824 Goodman Rd
Olive Branch, MS 38654-7950

Phone

(662) 874-5917

Fax

(662) 874-5998

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Windstone Dental LLC

  • Dentist
  • Olive Branch, MS
  • NPI 1376883199
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1598374191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547950",
            "telephone_number": "662-874-5917",
            "fax_number": "662-874-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547950",
            "telephone_number": "662-874-5917",
            "fax_number": "662-874-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "KAMREN",
        "middle_name": "ALESE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4150-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Andrew Jackson, DDS, PLLC
• Stacie Tigrett James, RPH
• Glynda Louise Jenkins, LPC
• Hong Jia
• JNJL Transportations LLC (Helens Rides)
• Stephen W. Joe, D.M.D.
• John Will Lifestyle Companions LLC
• David Johnson
• Elysica L Johnson, PHARMD
• Holly Johnson, PT

• General Practice Dentistry in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.