Thomas E Kimball, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

J7036 Issued in TX

Practice address

12200 Preston Rd
Dallas, TX 75230-2223

Phone

(972) 560-2667

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285792853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302223",
            "telephone_number": "972-560-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302223",
            "telephone_number": "972-560-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J7036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "840528",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoon Kim, DMD
• Young Jun Kim, MD
• Naomi Kimani
• Stephen J Kimatian, MD
• Erica Penick Kimball
• Kimberlea a Roe, M.D., P.a.
• Kimberly D Johnson, DO, PA
• Kimberly Mezera MD PLLC
• Nkiruka Helen Kimble, APRN, PMHNP-BC
• Hillary Kimbley, PH.D.

• Diagnostic Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Diagnostic Radiology Physician in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.