Patricia J Kimes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0023285 Issued in TX

Practice address

11420 Bee Caves Rd
Suite B-150
Austin, TX 78738-5526

Phone

(512) 263-8500

Fax

(512) 263-2866

NPI assigned

Jun 6, 2007

Last updated

Dec 31, 2012By 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

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Latiolais Kimes Dental, PLLC

  dba Sage Dentistry Austin

  • Public Health Dentistry
  • Austin, TX
  • NPI 1881039212
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1225231418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD",
            "address_2": "SUITE B-150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385526",
            "telephone_number": "512-263-8500",
            "fax_number": "512-263-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD",
            "address_2": "SUITE B-150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385526",
            "telephone_number": "512-263-8500",
            "fax_number": "512-263-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0023285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birch Kimbrough, MD
• Candace McWhirter Kimbrough, LPC, LCDC
• Kathryn Lyn Ebert Kimbrough, R.D., L.D.
• Ryan Douglas Kimbrough, MD
• Jonathon R Kimes, DDS
• Grace Whitney Kimmel, MD
• Freda E Kimmey, LPC
• Rachael Mary Kimpan, FNP-C
• Lashawn Denise Kincaid, PTA
• Daralisa Kincaide

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.