Organization Active NPI

Kemp Mill Dental

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1740370840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10996 Issued in MD
Legal business name
KEMP MILL DENTAL
Practice address
1299 Lamberton Dr
Suite a
Silver Spring, MD 20902-3411
Phone
(301) 649-1361
Fax
(301) 649-3221
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Spencer A Gakner, DDSNPI 1346358421
Title
President
Phone
(301) 649-1361

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10996 MD Primary

Addresses

Primary practice location

1299 Lamberton Dr
Suite a
Silver Spring, MD 20902-3411

Mailing address

1299 Lamberton Dr
Suite a
Silver Spring, MD 20902-3411
Phone (301) 649-1361

Other names 1

  • Spencer A Gakner LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1299 Lamberton Dr
Ste A
Silver Spring, MD 20902
Phone (301) 649-1361

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740370840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 LAMBERTON DR",
            "address_2": "SUITE A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023411",
            "telephone_number": "301-649-1361",
            "fax_number": "301-649-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 LAMBERTON DR",
            "address_2": "SUITE A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023411",
            "telephone_number": "301-649-1361",
            "fax_number": "301-649-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP MILL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAKNER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-649-1361",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spencer A Gakner LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.