Individual provider Active NPI

David Morrison Kimzey, C.O.

  • Orthotist
  • Visalia, CA
National Provider Identifier
1366580474
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO003478 Issued in CA
Practice address
5603 W Hillsdale Ave
Visalia, CA 93291-5136
Phone
(559) 733-7976
Fax
(559) 733-3836
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO003478 CA Primary

Addresses

Primary practice location

5603 W Hillsdale Ave
Visalia, CA 93291-5136

Mailing address

15163 Oak Ranch Dr
Visalia, CA 93292-9373
Phone (559) 300-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO003478CAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthopedic Inc Past Accepting new patients
Valley Orthopedic Inc Past Accepting new patients

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1366580474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15163 OAK RANCH DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929373",
            "telephone_number": "559-300-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915136",
            "telephone_number": "559-733-7976",
            "fax_number": "559-733-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMZEY",
        "first_name": "DAVID",
        "middle_name": "MORRISON",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "CO003478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.