Joseph Brandon Kimmel, LICENSED DENTURIST

Primary specialty

DenturistTaxonomy code 122400000X

License

DN60737872 Issued in WA

Practice address

806 Yelm Ave E # 7
Yelm, WA 98597-9424

Phone

(360) 704-9070

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yelm Denture Services

  • Denturist
  • Yelm, WA
  • NPI 1285590885
  NPD Authorized official
• Willamette Dental Group, P.C.

  • Dentist
  • Tacoma, WA
  • NPI 1881520880
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1740700145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 5TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036706",
            "telephone_number": "360-704-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 YELM AVE E # 7",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979424",
            "telephone_number": "360-704-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "JOSEPH",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LICENSED DENTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-03-14",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60737872",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTURIST LICENSE",
            "identifier": "DN60737872",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Marlin Kay, DDS
• Brian Keay, MD
• Courtney Bryann Keen
• Namsik Kim, LIC, ACU
• Graysen Keeley Kimball
• Grace King
• Kari Ann Koos, DPT
• Daniel W Kowals, MD
• Isabelle Sofia Kramer, LMT
• Amanda Kroboth, M.A. CCC-SLP

• Denturist in Yelm, WA
• Providers in Yelm, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.