Active NPI
Kimes Family Dentistry PLLC
- Dental Clinic/Center
- Booneville, AR
National Provider Identifier
1538675103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3882
- Legal business name
- KIMES FAMILY DENTISTRY PLLC
- Practice address
- 1090 E Main St
Booneville, AR 72927 - Phone
- (479) 675-2009
- Fax
- (479) 675-5446
- NPI assigned
- Dec 19, 2017
- Last updated
- Dec 19, 2017
- 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
- Emily Kimes, DDS
- Title
- Dentist
- Phone
- (479) 675-2009
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3882 | AR | Primary |
Addresses
Primary practice location
1090 E Main St
Booneville, AR 72927
Mailing address
PO Box 88
Booneville, AR 72927-0088
Phone (479) 675-2009
National Provider Directory
National Provider DirectoryLocations
1090 E Main St
Booneville, AR 72927
Phone (479) 675-2009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Booneville, AR
- NPI 1982968822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513641600000",
"number": "1538675103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "729270088",
"telephone_number": "479-675-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 E MAIN ST",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "72927",
"telephone_number": "479-675-2009",
"fax_number": "479-675-5446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMES FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A",
"authorized_official_last_name": "KIMES",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "479-675-2009",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "AR",
"license": "3882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.