Individual provider Active NPI

Kimberly F. Wilkins, D.M.D.

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1003949967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6883 Issued in KY
Practice address
121 Prosperous PL Ste 3a
Lexington, KY 40509-1828
Phone
(859) 263-5755
Fax
(859) 263-4052
NPI assigned
Mar 13, 2007
Sex
Female
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 6883 KY Primary

Addresses

Primary practice location

121 Prosperous PL Ste 3a
Lexington, KY 40509-1828

Mailing address

121 Prosperous PL Ste 3a
Lexington, KY 40509-1828
Phone (859) 263-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20201015001749 KY Order and Referring Only - DentistPractitioner - Dentist 8426478272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6883KYMDGeneral Practice Dentistry

Networks

  • TN PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • KY PPO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003949967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL STE 3A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091828",
            "telephone_number": "859-263-5755",
            "fax_number": "859-263-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL STE 3A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091828",
            "telephone_number": "859-263-5755",
            "fax_number": "859-263-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "KIMBERLY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.