Charles R Kimes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6058 Issued in KS

Practice address

8700 W 151St St
Overland Park, KS 66221-9756

Phone

(913) 647-8700

Fax

(913) 647-8701

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

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

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 and National Provider Directory roles.

• Overland Park Dentistry, PA

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1558895508
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619075801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219756",
            "telephone_number": "913-647-8700",
            "fax_number": "913-647-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219756",
            "telephone_number": "913-647-8700",
            "fax_number": "913-647-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kim, DDS
• Rebecca Kim
• Patricia Ann Kimberling, RD
• Kimberly M. Wirths, MD, PA
• Silverus Ngetich Kimeli, ARNP
• Fionah K Kimeu, RBT
• Erin Kincannon Emler, LCPC
• Melissa Kincheloe
• Brian C Kindred, MD
• Meya Lee Kindred, M.D.

• General Practice Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.