NPIMap

Organization Active NPI

Shannon S Kemper DMD PSC

  • Dental Clinic/Center
  • Lexington, KY
National Provider Identifier
1770974917
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7372 Issued in KY
Legal business name
SHANNON S KEMPER DMD PSC
Doing business as
SMILE DESIGNS FAMILY DENTISTRY
Practice address
3340 Clays Mill Rd
Ste 2
Lexington, KY 40503-3488
Phone
(859) 224-3200
Fax
(859) 219-1727
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Shannon S Kemper, DMDNPI 1366405839
Title
Owner
Phone
(859) 224-3200

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
Dental Clinic/Center 261QD0000X 7372 KY Primary

Addresses

Primary practice location

3340 Clays Mill Rd
Ste 2
Lexington, KY 40503-3488

Mailing address

3340 Clays Mill Rd
Ste 2
Lexington, KY 40503-3488
Phone (859) 224-3200

Other names 1

  • SMILE DESIGNS FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

3340 Clays Mill Rd
Ste 2
Lexington, KY 40503
Phone (859) 224-3200

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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1770974917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 CLAYS MILL RD",
            "address_2": "STE 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033488",
            "telephone_number": "859-224-3200",
            "fax_number": "859-219-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 CLAYS MILL RD",
            "address_2": "STE 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033488",
            "telephone_number": "859-224-3200",
            "fax_number": "859-219-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON S KEMPER DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-224-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "7372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE DESIGNS FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.