Stephen Kimball, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30352 Issued in TX

Practice address

7181 Westwind Dr Ste a
El Paso, TX 79912-1781

Phone

(801) 518-9923

NPI assigned

Aug 30, 2012

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)

Not 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.

• Kimball Care

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1639533748
  NPD Authorized official

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1770832297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 WESTWIND DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121781",
            "telephone_number": "801-518-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7181 WESTWIND DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121781",
            "telephone_number": "801-518-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Psc 41 Box 2895",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "094640029",
            "country_code": "US",
            "telephone_number": "01638528323",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5798098-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Kim
• Tawny Kim, MD
• Tony Jaewon Kim, DMD
• Yoobyung Kim, LCSW
• Kimball Care
• Juanita Kimberly
• Lynn Ray Kime, MD
• Warren Kimmel, NP
• Kin Wong
• Harry O Kincaid Jr., LCSW, ASOTP

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.