Individual provider Active NPI

Kimberly Bessix, D.D.S.

  • General Practice Dentistry
  • Maringouin, LA
National Provider Identifier
1215065875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4870 Issued in LA
Practice address
10530 Lions Ave.
Maringouin, LA 70757
Phone
(225) 625-3251
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4870 LA Primary

Addresses

Primary practice location

10530 Lions Ave.
Maringouin, LA 70757

Mailing address

PO Box 780
Maringouin, LA 70757-0780
Phone (225) 625-3251

Other identifiers 1

IdentifierTypeStateIssuer
1848701MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20250108002108 LA Practitioner - Dentist 0648636688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4870LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Oct 20, 2024 Accepting new patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Oct 20, 2024 Accepting new patients
Kimberly D. Bessix LLC General Practice Past Accepting new patients
Southeast Community Health Systems Past Accepting new patients

Locations

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

6351 Main St
Zachary, LA 70791
Phone (225) 306-2055

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215065875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707570780",
            "telephone_number": "225-625-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 LIONS AVE.",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "70757",
            "telephone_number": "225-625-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSIX",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maringouin, LA

Sources for this page

Verify at the official NPI Registry.