Active NPI
Kimberly S. Pinyan, DMD, PA
- General Practice Dentistry
- Winston Salem, NC
National Provider Identifier
1477618643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2000013233607
- Legal business name
- KIMBERLY S. PINYAN, DMD, PA
- Practice address
- 4712 Country Club Rd
Suite C
Winston Salem, NC 27104-3749 - Phone
- (336) 760-2011
- Fax
- (336) 760-2847
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly S Pinyan, DMD
- Title
- Owner
- Phone
- (336) 760-2011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2000013233607 | NC | Primary |
Addresses
Primary practice location
4712 Country Club Rd
Suite C
Winston Salem, NC 27104-3749
Mailing address
4712 Country Club Rd
Suite C
Winston Salem, NC 27104-3749
Phone (336) 760-2011
National Provider Directory
National Provider DirectoryLocations
4712 Country Club Rd
Ste C
Winston Salem, NC 27104
Phone (336) 760-2011
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Winston Salem, NC
- NPI 1588080469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1477618643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 COUNTRY CLUB RD",
"address_2": "SUITE C",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043749",
"telephone_number": "336-760-2011",
"fax_number": "336-760-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 COUNTRY CLUB RD",
"address_2": "SUITE C",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043749",
"telephone_number": "336-760-2011",
"fax_number": "336-760-2847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY S. PINYAN, DMD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "PINYAN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-760-2011",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "2000013233607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.