Individual provider Active NPI

Gary Lee Kimberlin, DMD

  • Dentist
  • Chambersburg, PA
National Provider Identifier
1467516385
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS019543L Issued in PA
Practice address
67 Brumbaugh Ave
Chambersburg, PA 17201-2801
Phone
(717) 263-6060
Fax
(717) 263-7190
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS019543L PA Primary

Addresses

Primary practice location

67 Brumbaugh Ave
Chambersburg, PA 17201-2801

Mailing address

PO Box 316
Williamsville, NY 14231
Phone (716) 204-4998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119000247 PA Order and Referring Only - DentistPractitioner - Dentist 2163704529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019543LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dental Care of Pennsylvania Past Accepting new patients
Allcare Dental & Dentures PC 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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1467516385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14231",
            "telephone_number": "716-204-4998",
            "fax_number": "716-632-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BRUMBAUGH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012801",
            "telephone_number": "717-263-6060",
            "fax_number": "717-263-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLIN",
        "first_name": "GARY",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019543L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.