Individual provider Active NPI

Kimberley Ann Firey, D.D.S.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1609995695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
OK5276 Issued in OK
Practice address
1316 E 41St St
Tulsa, OK 74105-4032
Phone
(918) 743-1777
Fax
(918) 743-1780
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OK5276 OK Primary

Addresses

Primary practice location

1316 E 41St St
Tulsa, OK 74105-4032

Mailing address

1316 E 41St St
Tulsa, OK 74105-4032
Phone (918) 743-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228002342 OK Order and Referring Only - DentistPractitioner - Dentist 0749564219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK5276OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberley a. Firey, D.D.S., P.C. General Practice Past Accepting new patients
Tara Littlefield DDS PLLC PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609995695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054032",
            "telephone_number": "918-743-1777",
            "fax_number": "918-743-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054032",
            "telephone_number": "918-743-1777",
            "fax_number": "918-743-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIREY",
        "first_name": "KIMBERLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "OK5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.