Kimberly Tustin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D6621 Issued in OR

Practice address

1800 Valley River Dr
Ste 400
Eugene, OR 97401-6714

Phone

(541) 344-6058

Fax

(541) 343-0310

NPI assigned

Sep 9, 2008

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

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

• Cascade Dental

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1598972903
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1639327158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25012",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020445",
            "telephone_number": "541-344-6058",
            "fax_number": "541-343-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VALLEY RIVER DR",
            "address_2": "STE 400",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016714",
            "telephone_number": "541-344-6058",
            "fax_number": "541-343-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSTIN",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turning Point Center LLC
• Turningpoint Lymphedema Clinic and Consulting
• Douglas Eugene Turvey, M.D.
• Amy Elise Tuski
• Crystal Tuski, CNA
• Abby Tuttle Shamblin, M.ED.
• Keenan Aleksei Tvedt, LMT
• Two Rivers Clinic
• Patricia Diane Twombly, LPN
• Tyler D. Clark DMD, PC

• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.