Kelsee Kemp

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

2145 Green Vista Dr Ste 110
Sparks, NV 89431-8513

Phone

(775) 331-9477

NPI assigned

Feb 12, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ruggiero and Francis Dentistry

  • Pediatric Dentistry
  • Sparks, NV
  • NPI 1023127149
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1952934416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 GREEN VISTA DR STE 110",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318513",
            "telephone_number": "775-331-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 GREEN VISTA DR STE 110",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318513",
            "telephone_number": "775-331-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "KELSEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wildaboutsmiles.net",
            "affiliation": "N",
            "address_1": "2145 Green Vista Dr Ste 110",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894318513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara-Ann Keller
• Brenda K Keller
• Dale Ray Kelly, D.C.
• Kylie Kelly
• Marilyn M Kelly, R.N.
• Kenneth D. Vaughn DDS, PLLC
• Patrick Joseph Kenney, D.O.
• William Michael Kernozek II
• Kerry'S Medical Inc
• Jessica Kate Ketz

• Dental Assistant in Sparks, NV
• Providers in Sparks, NV by specialty
• Dental Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.