DR. KIM DEWAYNE KEMMERLY DMD
NPI 1356979603
Dentist - General Practice in Las Vegas, NV

Q: What is Kim Kemmerly's NPI number?

The NPI number for Kim Kemmerly is 1356979603. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Kim Kemmerly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kim Kemmerly was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2020PECOS Enrolled

5905 W CHARLESTON BLVD APT 250, LAS VEGAS, NV 89146(318) 332-6347 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kim Dewayne Kemmerly Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM DEWAYNE KEMMERLY DMD (NPI 1356979603) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (7322) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356979603

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KIM DEWAYNE KEMMERLYCredential: DMD

Location Address5905 W CHARLESTON BLVD APT 250Las Vegas, NV 89146-1375

Mailing Address5905 W Charleston Blvd Apt 250Las Vegas, NV 89146-1375 · (318) 332-6347

Phone(318) 332-6347

Sole ProprietorNo

Enumeration DateMarch 31, 2020

NPPES CertifiedMarch 31, 2020

✔ NPI 1356979603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NV · 7322

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5905 W CHARLESTON BLVD APT 250, Las Vegas, NV 89146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Dewayne Kemmerly Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Kemmerly's NPI number?

The NPI number for Kim Kemmerly is 1356979603. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Kim Kemmerly located?

Kim Kemmerly practices at 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146. The listed phone number is (318) 332-6347.

What is Kim Kemmerly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kim Kemmerly enrolled in Medicare?

Yes. Kim Kemmerly is registered in the Medicare PECOS enrollment system.

What insurance does Kim Kemmerly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Kim Kemmerly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Kemmerly was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.