Edna Faye Kemp, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009358 Issued in IN

Practice address

5660 Caito Dr
BLDG 3 Suite 130
Indianapolis, IN 46226-1372

Phone

(317) 545-5367

Fax

(317) 545-6230

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1871663997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 CAITO DR",
            "address_2": "BLDG 3 SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261372",
            "telephone_number": "317-545-5367",
            "fax_number": "317-545-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 CAITO DR",
            "address_2": "BLDG 3 SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261372",
            "telephone_number": "317-545-5367",
            "fax_number": "317-545-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "EDNA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118850",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia D Kemen, MSN, RN, CPNP-BC
• S. Alexander Kemery, PHD, RN
• Kemet Health One LLC
• Caitlin Kemp, NNP
• Colleen Brady Kemp, PA-C
• Kaitlin Elizabeth Kemp, MBA, MT-BC
• Zachary A Kemp, PA-C
• Diana J Kemper, MSN
• Lori Kemper, NP
• Melissa Lynn Kemper

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.