Kimberly J. Anderson, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42629 Issued in CA

Legal business name

KIMBERLY J. ANDERSON, DDS, INC

Practice address

2035 Lyndell Ter
Suite 210
Davis, CA 95616-6222

Phone

(530) 753-3000

Fax

(530) 753-3003

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly J Anderson, D.D.S.

Title

Dentist/Owner

Phone

(530) 753-3000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1639522782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER",
            "address_2": "SUITE 210",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222",
            "telephone_number": "530-753-3000",
            "fax_number": "530-753-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER",
            "address_2": "SUITE 210",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222",
            "telephone_number": "530-753-3000",
            "fax_number": "530-753-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY J. ANDERSON, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "530-753-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kim
• Ryan Sunho Kim, NP-C
• Sophia Kim
• Susan Kim, PHARM D
• Kimberly Alston-Stepnitz Psychologist
• Ashley King, PMHNP
• Henry T King, MD
• Rosalynne Frances King
• Teresa Marie King, PT
• Erin Kinmont

• General Practice Dentistry in Davis, CA
• Providers in Davis, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.