Organization Active NPI

Kimberly S. Pinyan, DMD, PA

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1477618643
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2000013233607 Issued in NC
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

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Mrs. Kimberly S Pinyan, DMDNPI 1588080469
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.