Organization Active NPI

Kemmerer Dental Inc

Doing business as Kemmerer Dental Associates

  • General Practice Dentistry
  • Diamondville, WY
National Provider Identifier
1902946932
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
799 Issued in WY
Legal business name
KEMMERER DENTAL INC
Doing business as
Kemmerer Dental Associates
Practice address
100 Canyon Road
Diamondville, WY 83116-0314
Phone
(307) 877-6951
Fax
(307) 877-4149
NPI assigned
Feb 7, 2007
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Karen A Cheek, DDSNPI 1629008776
Title
Direct Owner
Phone
(307) 877-6951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 799 WY Primary

Addresses

Primary practice location

100 Canyon Road
Diamondville, WY 83116-0314

Mailing address

PO Box 314
Diamondville, WY 83116-0314
Phone (307) 877-6951

Other names 1

  • KEMMERER DENTAL ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1902946932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "831160314",
            "telephone_number": "307-877-6951",
            "fax_number": "307-877-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANYON ROAD",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "831160314",
            "telephone_number": "307-877-6951",
            "fax_number": "307-877-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMMERER DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "307-877-6951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEMMERER DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamondville, WY

Sources for this page

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