Amy Melissa Kimes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7476 Issued in NC

Practice address

236 Smith Chapel Rd
Mount Olive, NC 28365-1917

Phone

(919) 658-9511

NPI assigned

Jan 21, 2006

Last updated

May 28, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Amy M Kimes, DDS PA

  • Dental Clinic/Center
  • Mount Olive, NC
  • NPI 1508024597
  NPD (past) Authorized official
• Joseph Ray Mooring, Jr., D.D.S., P.a.

  • Dental Clinic/Center
  • Mount Olive, NC
  • NPI 1992868616
  NPD (past)

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1154301315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SMITH CHAPEL RD",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651917",
            "telephone_number": "919-658-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SMITH CHAPEL RD",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651917",
            "telephone_number": "919-658-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "AMY",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905678",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather C Jones, COTA/L
• Joseph Ray Mooring, Jr., D.D.S., P.a.
• Kristina K Joyner
• Aliesha Keys
• Hana Kim, PA-C
• Dawn F Knowles, LCSW
• Kommunikate Plus Inc
• Kommunikate Plus, Inc.
• Laboratory Corporation of America Holdings
• Lisa R Lafata

• Dentist in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.