Individual provider Active NPI

John TK Kraemer, DMD

  • Dentist
  • Franklin, MA
National Provider Identifier
1871298372
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10000054 Issued in MA
Practice address
620 Old West Central St Ste 201
Franklin, MA 02038-3051
Phone
(508) 541-7400
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN10000054 MA Primary

Addresses

Primary practice location

620 Old West Central St Ste 201
Franklin, MA 02038-3051

Mailing address

12 Reardon St
Worcester, MA 01606-2581

Other practice location 1

1000 Asylum Ave Ste 3200
Hartford, CT 06105-1702
Phone (860) 714-5782

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
DN10000054MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashkan Saadi DMD PC PastSince May 19, 2024 Accepting new patients
All in One Dental Clinic LLC PastSince May 19, 2024 Accepting new patients
Saint Francis Hospital and Medical Center PastSince Apr 1, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1871298372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 REARDON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OLD WEST CENTRAL ST STE 201",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383051",
            "telephone_number": "508-541-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Asylum Ave Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051702",
            "country_code": "US",
            "telephone_number": "860-714-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "JOHN",
        "middle_name": "TK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.