Kirby Chambers Hoetker, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7601 Issued in KY

Practice address

141 Stonecrest Rd
Shelbyville, KY 40065-8164

Phone

(502) 633-4441

Fax

(502) 633-4470

NPI assigned

Aug 15, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pdos Dre LLC

  • Pediatric Dentistry
  • Shelbyville, KY
  • NPI 1659144285
  NPD (past)
• Pediatric Dentistry of Shelbyville

  • Pediatric Dentistry
  • Shelbyville, KY
  • NPI 1770748790
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1598767030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 STONECREST RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658164",
            "telephone_number": "502-633-4441",
            "fax_number": "502-633-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 STONECREST RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658164",
            "telephone_number": "502-633-4441",
            "fax_number": "502-633-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOETKER",
        "first_name": "KIRBY",
        "middle_name": "CHAMBERS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "7601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "7601",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "421536088",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60001377",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Wilferd Hill Jr., TCADC
• Lauren Hirsch
• Shannon Michelle Hoard
• Kelli Hobart
• Jonathan Alexander Hobbs, DPT
• Victoria Megan Holly, PT
• Beth Hope-Peterman
• Ellen C. Horton, M.C.D.
• Candace Lee Houp
• Taylor House, MSN, APRN, FNP-C

• Pediatric Dentistry in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.