Thomas Kimberly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09388 Issued in IA

Practice address

1509 Avenue G
Council Bluffs, IA 51501-2516

Phone

(712) 325-1544

NPI assigned

May 18, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1083141154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 41ST ST APT 141",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013372",
            "telephone_number": "330-328-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 AVENUE G",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515012516",
            "telephone_number": "712-325-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLY",
        "first_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Therapy Corner
• Britley Kierscht
• Jeffrey Phillip Kiley, D.P.M.
• Erica A. Kilnoski, P.A.
• Jonathan L. Kilstrom, PA-C
• Kindred
• Demianna King, H.I.S.
• Jonathan Kingsley, OD
• Mark Gregory Kinnaman, CADC
• Margaret E Kinney, APRN

• Dentist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.