Christopher Kimble, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901600389 Issued in MI

Practice address

132 Cole Rd
Monroe, MI 48162-4104

Phone

(734) 242-7120

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Chip Kimble, PC

  dba Prism Dental

  • Dental Clinic/Center
  • Ann Arbor, MI
  • NPI 1760282255
  NPD Authorized official
• Kuras Dental Health Associates

  • General Practice Dentistry
  • Monroe, MI
  • NPI 1043350762
  NPD (past)
• Northside Dental PLLC

  dba Kuras Dental Health Associates

  • General Practice Dentistry
  • Monroe, MI
  • NPI 1659844413
  NPD (past)
• Eagan Smiles Dentistry, PC

  dba Eagan Smiles Dentistry

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1184093551
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1659865020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624104",
            "telephone_number": "734-242-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624104",
            "telephone_number": "734-242-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Promenade Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551234420",
            "country_code": "US",
            "telephone_number": "651-236-7458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14060",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashraf Kharrubi
• Mark James Khoury, DO
• Khurrum Mirza DDS PC (Procare Dental of Monroe)
• Kristian Yune-Hie Kim
• Mara Kimball, CTRS
• Timothy J Kincaid, D.C.
• Joseph Robert Kinel, MA
• Candice King
• Karlie King
• Amy S Kinsey, P.T.A.

• Dentist in Monroe, MI
• Providers in Monroe, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.