Kimberly S Hansford, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7469 Issued in KY

Practice address

130 Evergreen Rd
Suite 100
Middletown, KY 40243-1489

Phone

(502) 410-1710

Fax

(502) 244-1244

NPI assigned

Sep 3, 2006

Last updated

Sep 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1104928738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EVERGREEN RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431489",
            "telephone_number": "502-410-1710",
            "fax_number": "502-245-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EVERGREEN RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431489",
            "telephone_number": "502-410-1710",
            "fax_number": "502-244-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSFORD",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7469",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002474",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xavier Counts, DC
• Sarah Creasy, PHARMD
• Marcelle Curtis
• Ashley Lynn Davis
• Engilman Orthodontics
• Amy J Hill, PAC
• Rama L Kakarlapudi, DMD
• Terry L. Kennedy, OPTICIAN
• Kiosk Medicine Kentucky
• Kari Lynn Kleinman, APRN

• Pediatric Dentistry in Middletown, KY
• Providers in Middletown, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.