Organization Active NPI

Joan H. Kimball, DMD

  • General Practice Dentistry
  • Plaistow, NH
National Provider Identifier
1700026713
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2238 Issued in NH
Legal business name
JOAN H. KIMBALL, DMD
Practice address
15 Wentworth Ave
Plaistow, NH 03865-3136
Phone
(603) 382-5138
Fax
(603) 382-6071
NPI assigned
Mar 3, 2009
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Joan Harwood Kimball, DMDNPI 1063420099
Title
Dentist
Phone
(603) 382-5138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2238 NH
General Practice Dentistry 1223G0001X 2238 NH Primary

Addresses

Primary practice location

15 Wentworth Ave
Plaistow, NH 03865-3136

Mailing address

15 Wentworth Ave
Plaistow, NH 03865-3136
Phone (603) 382-5138

Other identifiers 1

IdentifierTypeStateIssuer
30004940MedicaidNH

National Provider Directory

National Provider Directory

Locations

15 Wentworth Ave
Plaistow, NH 03865
Phone (603) 382-5138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1700026713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WENTWORTH AVE",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038653136",
            "telephone_number": "603-382-5138",
            "fax_number": "603-382-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WENTWORTH AVE",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038653136",
            "telephone_number": "603-382-5138",
            "fax_number": "603-382-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN H. KIMBALL, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "HARWOOD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-382-5138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2238",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004940",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.