James Kenneth Kramer, DMD
Individual provider Active NPI Dentist · Selbyville, DE
NPI 1700910346 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700910346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- G1-0000974 (DE)
- Practice address
- 13 South Main Street
Selbyville, DE 19975-0348 - Phone
- (302) 436-5133
- Fax
- (302) 436-5135
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150409000053 | DE | Order and Referring Only - Dentist |
2961720669 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0000974 | DE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James K Kramer DMD PA | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0000974 | DE | Yes |
Addresses
Primary practice location
13 South Main Street
Selbyville, DE 19975-0348
Mailing address
PO Box 348
13 South Main Street
Selbyville, DE 19975-0348
Phone (302) 436-5133
Other providers in Selbyville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.