Active NPI
Kim Schilling, DDS
- Dentist
- San Felipe, NM
National Provider Identifier
1376747279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD3287
- Practice address
- 8 Cedar St
San Felipe, NM 87001 - Phone
- (970) 471-9400
- Fax
- (505) 424-8535
- NPI assigned
- Jun 13, 2007
- Last updated
- May 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD3287 | NM | Primary |
Addresses
Primary practice location
8 Cedar St
San Felipe, NM 87001
Mailing address
8 Cedar St
San Felipe, NM 87001
Phone (970) 471-9400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3287 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gustavus Community Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Gustavus, AK
- NPI 1548281215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1376747279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CEDAR ST",
"city": "SAN FELIPE",
"state": "NM",
"postal_code": "87001",
"telephone_number": "970-471-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CEDAR ST",
"city": "SAN FELIPE",
"state": "NM",
"postal_code": "87001",
"telephone_number": "970-471-9400",
"fax_number": "505-424-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLING",
"first_name": "KIM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD3287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Felipe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.