Individual provider Active NPI

William Russell Kremers, DDS

  • General Practice Dentistry
  • Mission, KS
National Provider Identifier
1912123779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5725 Issued in KS
Practice address
5830 Nall Ave
Suite One
Mission, KS 66202-2730
Phone
(913) 432-3112
Fax
(913) 432-5467
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5725 KS Primary

Addresses

Primary practice location

5830 Nall Ave
Suite One
Mission, KS 66202-2730

Mailing address

5830 Nall Ave
Mission, KS 66202-2730
Phone (913) 432-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205001743 KS Order and Referring Only - DentistPractitioner - Dentist 2860730595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5725KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William R Kremers, DDS, 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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912123779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 NALL AVE",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022730",
            "telephone_number": "913-432-3112",
            "fax_number": "913-432-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 NALL AVE",
            "address_2": "SUITE ONE",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022730",
            "telephone_number": "913-432-3112",
            "fax_number": "913-432-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMERS",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.