NPIMap

Individual provider Active NPI

Karen Kimzey, DDS

  • Endodontics
  • Elk Grove, CA
National Provider Identifier
1376967869
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
63512 Issued in CA
Practice address
9309 Office Park Cir Ste 100
Elk Grove, CA 95758-8072
Phone
(916) 423-3616
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 63512 CA Primary
General Practice Dentistry 1223G0001X 63512 CA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9309 Office Park Cir Ste 100
Elk Grove, CA 95758-8072

Mailing address

9309 Office Park Cir Ste 100
Elk Grove, CA 95758-8072
Phone (916) 423-3636

Other names 1

  • Karen Doan Former name

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

Interoperability endpoints

  • Direct secure messaging: karen.kimzey.p1@direct.cmcentersinc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1376967869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 OFFICE PARK CIR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588072",
            "telephone_number": "916-423-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 OFFICE PARK CIR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588072",
            "telephone_number": "916-423-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMZEY",
        "first_name": "KAREN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "63512",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63512",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.