Kimberly Gail Redick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012371 Issued in GA

Practice address

131 Silverwood Commercial Dr Suite #400
Rincon, GA 31326-5131

Phone

(912) 826-1905

Fax

(912) 826-1171

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kimberly G Redick DMD Family and Cosmetic Dentistry PC

  • General Practice Dentistry
  • Rincon, GA
  • NPI 1730397340
  NPD (past) Authorized official
• Andrew H. Abbott DDS PC

  • General Practice Dentistry
  • Rincon, GA
  • NPI 1114221017
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1598801995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SILVERWOOD COMMERCIAL DR SUITE #400",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265131",
            "telephone_number": "912-826-1905",
            "fax_number": "912-826-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SILVERWOOD COMMERCIAL DR SUITE #400",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265131",
            "telephone_number": "912-826-1905",
            "fax_number": "912-826-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDICK",
        "first_name": "KIMBERLY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1819395",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody A Presson
• Thomas A Presson
• Dent W. Purcell, M.D.
• Quick RX Drugs Inc
• Daniel Franklin Reames, O.D.
• Destiny Reed, PHARMD
• Stacey Bryant Reid, LCSW
• Susan R Reinheimer, M.D.
• Renewalmd Rincon
• Thomas James Rewis

• General Practice Dentistry in Rincon, GA
• Providers in Rincon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.