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ANDREW KEMLAGE
NPI 1386057032
Dentist in Fenton, MO

Active since June 10, 2014PECOS Enrolled
1576 SMIZER STATION RD, FENTON, MO 63026(636) 225-1777 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Kemlage NPPES

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

ANDREW KEMLAGE (NPI 1386057032) is an individual dentist in Fenton, Missouri, licensed in Missouri (2014016811) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386057032
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameANDREW KEMLAGE
Location Address1576 SMIZER STATION RDFenton, MO 63026-3290
Mailing Address2417 Boardwalk PlSaint Louis, MO 63129-4853
Phone(636) 225-1777
Sole ProprietorYes
Enumeration DateJune 10, 2014
✔ NPI 1386057032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2014016811
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1576 SMIZER STATION RD, Fenton, MO 63026
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Kemlage 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 63026 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 Andrew Kemlage's NPI number?

The NPI number for Andrew Kemlage is 1386057032. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Andrew Kemlage located?

Andrew Kemlage practices at 1576 Smizer Station Rd, Fenton, MO 63026. The listed phone number is (636) 225-1777.

What is Andrew Kemlage's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrew Kemlage enrolled in Medicare?

Yes. Andrew Kemlage is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Kemlage was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.