Kimberly Ann Dyoco I, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019.027698 Issued in IL

Practice address

522 Chestnut St Ste 2a
Hinsdale, IL 60521-3173

Phone

(630) 323-4468

Fax

(630) 323-4446

NPI assigned

Feb 11, 2009

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

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1649419938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT ST STE 2A",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213173",
            "telephone_number": "630-323-4468",
            "fax_number": "630-323-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT ST STE 2A",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213173",
            "telephone_number": "630-323-4468",
            "fax_number": "630-323-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYOCO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.