Joseph Michael Kilman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15834 Issued in FL

Practice address

1974 State Road 44
New Smyrna Beach, FL 32168-8349

Phone

(386) 428-8553

Fax

(386) 428-2622

NPI assigned

Dec 19, 2006

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Nov 22, 2016 through Nov 22, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679636849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688349",
            "telephone_number": "386-428-8553",
            "fax_number": "386-428-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688349",
            "telephone_number": "386-428-8553",
            "fax_number": "386-428-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMAN",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David K Kelly, CRNA
• Lauren Kennard
• Kristopher Allen Kessler, DC
• Arkadiy Kheyfits, DO
• Allyson Kight, DPT
• Kim Carter Winokur, PA
• Laura Knox, DPT
• Justin Wayne Knuckles, O.D.
• Erica Bret Kochis, MS CCC-SLP
• Patricia Pauline Koerner, ARNP

• General Practice Dentistry in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.