Individual provider Active NPI

Valda J Kempthorne, MD

  • Pediatric Adolescent Medicine Physician
  • Pasadena, MD
National Provider Identifier
1821033770
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D47858 Issued in MD
Practice address
3100 Mountain Rd
Suite E
Pasadena, MD 21122-2018
Phone
(410) 360-4446
Fax
(410) 360-4449
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D47858 MD Primary

Addresses

Primary practice location

3100 Mountain Rd
Suite E
Pasadena, MD 21122-2018

Mailing address

3100 Mountain Rd
Suite E
Pasadena, MD 21122-2018
Phone (410) 360-4446

Other identifiers 2

IdentifierTypeStateIssuer
W6420008OtherMDBCBS
730470600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D47858MDMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1821033770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD",
            "address_2": "SUITE E",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446",
            "fax_number": "410-360-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD",
            "address_2": "SUITE E",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446",
            "fax_number": "410-360-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTHORNE",
        "first_name": "VALDA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D47858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W6420008",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730470600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.