Kirsten Kimbler, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7239 Issued in NE

Practice address

600 S 42ND St
Omaha, NE 68198-1002

Phone

(605) 380-9238

NPI assigned

Jul 4, 2015

Last updated

Jul 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 28, 2022 through Dec 28, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Plains Oral and Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Aberdeen, SD
  • NPI 1487718565
  NPD (past)

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435968000000",
    "number": "1568845865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 DODGE ST",
            "address_2": "APT 617",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021912",
            "telephone_number": "605-380-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981002",
            "telephone_number": "605-380-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLER",
        "first_name": "KIRSTEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-04",
        "last_updated": "2015-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "7239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Kimball
• Kimberly J Polley DDS, LLC
• Kimberly Joy Psychotherapy LLC
• Gabrielle Kimble
• Keegan Kimble
• Ciera Kimbrough
• Emily Louise Kimbrough, PHARMD
• Melissa Lifaefi Kimbulu
• Sylvie Kimbulu
• Melissa Sue Kimmerling, MOT, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Omaha, NE
• Providers in Omaha, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.