NPIMap

Organization Active NPI

Kuennemeier and Kelley Dental Practice LLC

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1679940118
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16903 Issued in OH
Legal business name
KUENNEMEIER AND KELLEY DENTAL PRACTICE LLC
Practice address
3241 Mount Carmel Rd
Cincinnati, OH 45244-4315
Phone
(513) 753-0044
Fax
(513) 753-0093
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Dr. Stephen Paul Kuennemeier, DDSNPI 1326176033
Title
Dentist/Owner
Phone
(513) 753-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 16903 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 23243 OH

Addresses

Primary practice location

3241 Mount Carmel Rd
Cincinnati, OH 45244-4315

Mailing address

3241 Mount Carmel Rd
Cincinnati, OH 45244-4315
Phone (513) 753-0044

Other names 1

  • Eastgate Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1679940118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 MOUNT CARMEL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452444315",
            "telephone_number": "513-753-0044",
            "fax_number": "513-753-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 MOUNT CARMEL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452444315",
            "telephone_number": "513-753-0044",
            "fax_number": "513-753-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUENNEMEIER AND KELLEY DENTAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "KUENNEMEIER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "513-753-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "16903",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "23243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastgate Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.