Active NPI
Kimberly Travers, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Irving, TX
National Provider Identifier
1053850248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 18779
- Practice address
- 1105 Kinwest Pkwy
Suite 105
Irving, TX 75063-3428 - Phone
- (972) 910-8202
- Fax
- (972) 910-8203
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18779 | TX | Primary |
Addresses
Primary practice location
1105 Kinwest Pkwy
Suite 105
Irving, TX 75063-3428
Mailing address
1105 Kinwest Pkwy
Suite 105
Irving, TX 75063-3428
Phone (972) 910-8202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306952734 | Other | TX | NPI TYPE II FOR TRAVERS ORTHODONTICS PA |
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 |
|---|---|---|---|
| 18779 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travers Orthodontics PA | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Irving, TX
- NPI 1306952734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1053850248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 KINWEST PKWY",
"address_2": "SUITE 105",
"city": "IRVING",
"state": "TX",
"postal_code": "750633428",
"telephone_number": "972-910-8202",
"fax_number": "972-910-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 KINWEST PKWY",
"address_2": "SUITE 105",
"city": "IRVING",
"state": "TX",
"postal_code": "750633428",
"telephone_number": "972-910-8202",
"fax_number": "972-910-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERS",
"first_name": "KIMBERLY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "18779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE II FOR TRAVERS ORTHODONTICS PA",
"identifier": "1306952734",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.