Individual provider Active NPI

Kathryn Marie Kempeinen, D.D.S.

  • Dentist
  • Mason, MI
National Provider Identifier
1962795195
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020402 Issued in MI
Practice address
1103 S Cedar St Ste 100
Mason, MI 48854-2078
Phone
(517) 676-5900
NPI assigned
May 20, 2011
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020402 MI Primary

Addresses

Primary practice location

1103 S Cedar St Ste 100
Mason, MI 48854-2078

Mailing address

1103 S Cedar St Ste 100
Mason, MI 48854-2078
Phone (517) 676-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218001361 MI Order and Referring Only - DentistPractitioner - Dentist 8729383492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020402MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulick & Gulick D.D.S., P.C. Dentist Past Accepting new patients
Kempeinen Dentistry, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1962795195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S CEDAR ST STE 100",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542078",
            "telephone_number": "517-676-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S CEDAR ST STE 100",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542078",
            "telephone_number": "517-676-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPEINEN",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.