Randal S Kimbrough DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2389 Issued in AR

Legal business name

RANDAL S KIMBROUGH DDS PA

Practice address

2702 American Street
Springdale, AR 72764

Phone

(479) 751-9899

Fax

(479) 751-8705

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Louise Maland

Title

Office Manager

Phone

(479) 751-9899

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donathan Scott Kimbrough

  • General Practice Dentistry
  • Springdale, AR
  • NPI 1063641736
  NPD (past)
• Randal Shepard Kimbrough, D.D.S.

  • General Practice Dentistry
  • Springdale, AR
  • NPI 1588984843
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447340450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 AMERICAN STREET",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72764",
            "telephone_number": "479-751-9899",
            "fax_number": "479-751-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 AMERICAN STREET",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72764",
            "telephone_number": "479-751-9899",
            "fax_number": "479-751-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL S KIMBROUGH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALAND",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-751-9899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Ramick, M.D.
• Adrian Wilson Ramirez
• Corrina Ramos, PHARM. D
• Traci Renee Ramthun, MHPP
• Danae Ranck
• Randal S. Kimbrough
• Teqienna Dianne Randall, NP
• Joseph Brannon Randolph, MS, MBA, LPC
• Randolph'S Professional Treatment Services, PLLC
• Aubree Rankin

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.