James Stephen Kimble, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

WV2248 Issued in WV

Practice address

211 Virginia Ave
Petersburg, WV 26847-1715

Phone

(304) 257-1759

Fax

(304) 257-1759

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jeffrey G. Kimble DDS

  dba Kimble Family Dentistry

  • Dental Clinic/Center
  • Petersburg, WV
  • NPI 1508457326
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1366617904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA AVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471715",
            "telephone_number": "304-257-1759",
            "fax_number": "304-257-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA AVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471715",
            "telephone_number": "304-257-1759",
            "fax_number": "304-257-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV2248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Virginia Ketterman
• Georgia Ketterman
• Kia Ketterman
• Shirley Ketterman
• Lauren Kilmer
• Jeanne Elise Kimble
• Jeffrey G Kimble, DDS
• Killey Kimble
• Labreeska Kimble
• Ellen I Kirby, RN

• Dentist in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.