Individual provider Active NPI

Jonathan Henry Kremser, D.D.S

  • Pediatric Dentistry
  • Port Matilda, PA
National Provider Identifier
1821352626
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
000000 Issued in PA
Practice address
1019 Ghaner Rd Ste a
Port Matilda, PA 16870-7201
Phone
(814) 238-7120
Fax
(814) 239-2981
NPI assigned
Jun 27, 2012
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 000000 PA Primary

Addresses

Primary practice location

1019 Ghaner Rd Ste a
Port Matilda, PA 16870-7201

Mailing address

1019 Ghaner Rd Ste a
Port Matilda, PA 16870-7201
Phone (814) 238-7120

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000000PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1821352626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 GHANER RD STE A",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707201",
            "telephone_number": "814-238-7120",
            "fax_number": "814-239-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GHANER RD STE A",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707201",
            "telephone_number": "814-238-7120",
            "fax_number": "814-239-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMSER",
        "first_name": "JONATHAN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.