Kimberly M Service

Primary specialty

DentistTaxonomy code 122300000X

License

DN 19720 Issued in FL

Practice address

8060 Via Dellagio Way Ste 202
Orlando, FL 32819-5427

Phone

(407) 351-4104

Fax

(407) 351-0793

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By 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

Enrolled in FL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfortable Care Dental Health Professionals

  dba DellagioDentist.com

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1194967075
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1619230109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 VIA DELLAGIO WAY STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195427",
            "telephone_number": "407-351-4104",
            "fax_number": "407-351-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 VIA DELLAGIO WAY STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195427",
            "telephone_number": "407-351-4104",
            "fax_number": "407-351-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVICE",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 19720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luana Wolffenbuttel Serretiello, RD
• Servant Heart Leadership LLC (Mother Teresa's Home Health)
• Danielle Servedio
• Benjamin C Service, M.D.
• Gabriella Service
• Services by Amy LLC (Orlando Children's Therapy)
• Servicios Y Reparaciones Nazareth
• Cynthia Servin
• Setenov Enterprise Corporation (VonCare Inc.)
• Maybel Del Valle Setim-Alfonzo

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.