Mark C Kemerling, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32472 Issued in CA

Practice address

144 Everson Dr
Santa Cruz, CA 95060-7128

Phone

(831) 332-4256

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1720161714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 EVERSON DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607128",
            "telephone_number": "831-332-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 EVERSON DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607128",
            "telephone_number": "831-332-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMERLING",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina B Kelly, LMFT
• Ryanna Kelly
• Steven James Kelly
• Susan Kelly, PA
• Nanette Mandin Kelsey, RN
• Margot Kemp, RN
• Tara Kemp
• Ken Cassorla Chiropractic Corporation
• Hannah Colleen Kendall
• Tamsin Kaiona Kennedy, DPT

• General Practice Dentistry in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.