NPIMap

Organization Active NPI

Melanie L Kemmerer, DMD, PLLC

  • Dental Clinic/Center
  • Branford, FL
National Provider Identifier
1780972711
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17680 Issued in FL
Legal business name
MELANIE L KEMMERER, DMD, PLLC
Practice address
110 Suwannee Ave SW
Branford, FL 32008-2749
Phone
(386) 935-0988
Fax
(386) 935-0989
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Melanie Lynn Kemmerer, DMD
Title
Manager
Phone
(352) 514-9159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17680 FL Primary

Addresses

Primary practice location

110 Suwannee Ave SW
Branford, FL 32008-2749

Mailing address

110 Suwannee Ave SW
P.O. Box 930
Branford, FL 32008-2749
Phone (386) 935-0988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1780972711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SUWANNEE AVE SW",
            "address_2": "P.O. BOX 930",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082749",
            "telephone_number": "386-935-0988",
            "fax_number": "386-935-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUWANNEE AVE SW",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082749",
            "telephone_number": "386-935-0988",
            "fax_number": "386-935-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE L KEMMERER, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "KEMMERER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-514-9159",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.