Randal S. Kimbrough

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RANDAL S. KIMBROUGH

Practice address

2702 American St
Springdale, AR 72764-6937

Phone

(479) 751-9899

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Marsha Kimbrough

Title

Office Manager

Phone

(479) 751-9899

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donathan Scott Kimbrough

  • General Practice Dentistry
  • Springdale, AR
  • NPI 1063641736
  NPD (past)
• Randal Shepard Kimbrough, D.D.S.

  • General Practice Dentistry
  • Springdale, AR
  • NPI 1588984843
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1174879894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 AMERICAN ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646937",
            "telephone_number": "479-751-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 AMERICAN ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646937",
            "telephone_number": "479-751-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL S. KIMBROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-751-9899"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177728608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Wilson Ramirez
• Corrina Ramos, PHARM. D
• Traci Renee Ramthun, MHPP
• Danae Ranck
• Randal S Kimbrough DDS PA
• Teqienna Dianne Randall, NP
• Joseph Brannon Randolph, MS, MBA, LPC
• Randolph'S Professional Treatment Services, PLLC
• Aubree Rankin
• Joshua David Rankin, MD

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.