Active NPI
Kimberly Dawn Hill, DDS
- Dentist
- Durant, OK
National Provider Identifier
1780694703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5380
- Practice address
- 724 N Washington Ave
Durant, OK 74701-7017 - Phone
- (580) 924-0660
- Fax
- (580) 924-5376
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5380 | OK | |
| Dentist | 122300000X | 5380 | OK | Primary |
Addresses
Primary practice location
724 N Washington Ave
Durant, OK 74701-7017
Mailing address
400 W Kings Rd
Ada, OK 74820-8165
Phone (580) 310-2308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200052230A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Smiles Dentistry PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Durant, OK
- NPI 1831384726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1780694703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W KINGS RD",
"city": "ADA",
"state": "OK",
"postal_code": "748208165",
"telephone_number": "580-310-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 N WASHINGTON AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747017017",
"telephone_number": "580-924-0660",
"fax_number": "580-924-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5380",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200052230A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.