NPIMap

Organization Active NPI

Kimball Family Dentistry P.C.

  • General Practice Dentistry
  • Kimball, NE
National Provider Identifier
1245440528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6556 Issued in NE
Legal business name
KIMBALL FAMILY DENTISTRY P.C.
Practice address
416 W 2ND St
Kimball, NE 69145-1247
Phone
(308) 235-3919
Fax
(308) 235-3924
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adrian L Fuss, D.D.S.NPI 1780932897
Title
Owner Dentist
Phone
(308) 235-3919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6556 NE Primary

Addresses

Primary practice location

416 W 2ND St
Kimball, NE 69145-1247

Mailing address

PO Box 67
Kimball, NE 69145-0067
Phone (308) 235-3919

National Provider Directory

National Provider Directory

Locations

416 W 2nd St
Kimball, NE 69145
Phone (308) 235-3919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245440528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691450067",
            "telephone_number": "308-235-3919",
            "fax_number": "308-235-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W 2ND ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451247",
            "telephone_number": "308-235-3919",
            "fax_number": "308-235-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUSS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "308-235-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimball, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.