Northern Plains Oral and Maxillofacial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

M862 Issued in SD

Legal business name

NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC

Practice address

820 1St Ave SE
Suite 400
Aberdeen, SD 57401-4601

Phone

(605) 225-9362

Fax

(605) 229-7317

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Carl M Kimbler, DMD MD

Title

Owner

Phone

(605) 225-9362

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Kirsten Kimbler, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1568845865
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1487718565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 1ST AVE SE",
            "address_2": "SUITE 400",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014601",
            "telephone_number": "605-225-9362",
            "fax_number": "605-229-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 1ST AVE SE",
            "address_2": "SUITE 400",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014601",
            "telephone_number": "605-225-9362",
            "fax_number": "605-229-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "KIMBLER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-225-9362",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SD",
            "license": "M862",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SD",
            "license": "SD4237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000400",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0006084",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41240",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Nolte
• Kalie Anne Norberg, CNP
• Buckley D Norris, OT
• Northeast Chiropractic, Inc.
• Northeastern Mental Health Center
• Northern Plains Psychological Associates, LLC
• Northern State University
• Shelbi Morgan Notle
• Bobbi Jo Nuhsbaumer
• OB-GYN Assoc of Aberdeen

• Oral and Maxillofacial Surgery (Dentist) in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.