Amanda E Kimball, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402205456 Issued in VA

Practice address

1087 N Military Hwy
Norfolk, VA 23502-0028

Phone

(757) 451-7042

NPI assigned

Feb 21, 2022

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Dental of Eastern Virginia PLLC

  • General Practice Dentistry
  • Norfolk, VA
  • NPI 1295226710
  NPD (past)

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1083369789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SUNRISE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553153",
            "telephone_number": "757-748-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 N MILITARY HWY",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020028",
            "telephone_number": "757-451-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402205456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iuliia Kim
• Man Hyong Kim, M.D.
• Minju Kim, M.D.
• Sojeong Kim, DDS
• Sung DO Kim
• Michelle L Kimball, RPH
• Tara Kimbason, M.D.
• Thomas Dudley Kimble, MD
• Kinder Loving Care LLC
• Kindness & Care, LLC

• Dental Hygienist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.