Individual provider Active NPI

Karen Alane Cheek, DDS

  • General Practice Dentistry
  • Diamondville, WY
National Provider Identifier
1629008776
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
799 Issued in WY
Practice address
100 Canyon Road
Box 314
Diamondville, WY 83116
Phone
(307) 877-6951
Fax
(307) 877-4149
NPI assigned
Jul 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 799 WY Primary

Addresses

Primary practice location

100 Canyon Road
Box 314
Diamondville, WY 83116

Mailing address

100 Canyon Road
Box 314
Diamondville, WY 83116
Phone (307) 877-6951

Other identifiers 1

IdentifierTypeStateIssuer
480227OtherWYUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20160413001470 WY Order and Referring Only - DentistPractitioner - Dentist 1254639958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kemmerer Dental Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629008776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANYON ROAD",
            "address_2": "BOX 314",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "83116",
            "telephone_number": "307-877-6951",
            "fax_number": "307-877-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANYON ROAD",
            "address_2": "BOX 314",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "83116",
            "telephone_number": "307-877-6951",
            "fax_number": "307-877-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEK",
        "first_name": "KAREN",
        "middle_name": "ALANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "480227",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondville, WY

Sources for this page

Verify at the official NPI Registry.