Active NPI
David L Kaelin, DMD
- General Practice Dentistry
- Cape Girardeau, MO
National Provider Identifier
1891997300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 015160
- Practice address
- 7 Doctors Park
Cape Girardeau, MO 63703-4927 - Phone
- (573) 339-7070
- Fax
- (573) 339-1960
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 015160 | MO | Primary |
Addresses
Primary practice location
7 Doctors Park
Cape Girardeau, MO 63703-4927
Mailing address
7 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 339-7070
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015160 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L Kaelin DMD PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891997300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034927",
"telephone_number": "573-339-7070",
"fax_number": "573-339-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034927",
"telephone_number": "573-339-7070",
"fax_number": "573-339-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAELIN",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "015160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.