Dean Michael Kimball, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2447 Issued in NH

Practice address

350 Route 108
#9
Somersworth, NH 03878-1562

Phone

(603) 692-2600

Fax

(603) 692-2601

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NH

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.

• Great Falls Denal Association

  • General Practice Dentistry
  • Somersworth, NH
  • NPI 1851412449
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194850792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ROUTE 108",
            "address_2": "#9",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781562",
            "telephone_number": "603-692-2600",
            "fax_number": "603-692-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ROUTE 108",
            "address_2": "#9",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781562",
            "telephone_number": "603-692-2600",
            "fax_number": "603-692-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "DEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Keys, PA-C
• Keystone Dental Arts
• KG&LM Transportation
• Jessica Felber Kiefaber, LICSW
• Marta Kilrain, MS, OTR/L
• Caroline King, PT
• Maria E. Kirby, SLP
• Melinda Beth Klaye, D.M.D.
• Lauren Caroline Koczela, PA
• Robert Koh

• Dentist in Somersworth, NH
• Providers in Somersworth, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.