Active NPI
Kimberly Renee Vinson, DMD
- Dentist
- Greenville, NC
National Provider Identifier
1043662448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10464
- Practice address
- 410 W 14TH St
Greenville, NC 27834-4074 - Phone
- (252) 758-8110
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10464 | NC | Primary |
Addresses
Primary practice location
410 W 14TH St
Greenville, NC 27834-4074
Mailing address
2136 Flagstone CT
Unit I6
Greenville, NC 27834-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10464 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hjbrown&Associates, D.D.S., PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Greenville, NC
- NPI 1538267224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1043662448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 FLAGSTONE CT",
"address_2": "UNIT I6",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 14TH ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344074",
"telephone_number": "252-758-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "KIMBERLY",
"middle_name": "RENEE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.