Individual provider Active NPI

Kimberly Hardy Martin, DMD

  • General Practice Dentistry
  • Versailles, KY
National Provider Identifier
1215975008
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7658 Issued in KY
Practice address
426 Lexington Rd
Suite 150
Versailles, KY 40383-1798
Phone
(859) 873-4451
Fax
(859) 873-3243
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 7658 KY Primary

Addresses

Primary practice location

426 Lexington Rd
Suite 150
Versailles, KY 40383-1798

Mailing address

426 Lexington Rd
Suite 150
Versailles, KY 40383-1798
Phone (859) 873-4451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160204002429 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6406150804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7658KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Dental Group General Practice PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215975008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 LEXINGTON RD",
            "address_2": "SUITE 150",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831798",
            "telephone_number": "859-873-4451",
            "fax_number": "859-873-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 LEXINGTON RD",
            "address_2": "SUITE 150",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831798",
            "telephone_number": "859-873-4451",
            "fax_number": "859-873-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KIMBERLY",
        "middle_name": "HARDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.