Kimberly Morgan Fichthorn, RDH, IPDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH4109 Issued in ME

Practice address

168 Main St Ste C
Winthrop, ME 04364

Phone

(207) 930-0833

NPI assigned

Oct 23, 2017

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maine Dental Boutique, LLC

  • Dental Hygienist
  • Winthrop, ME
  • NPI 1306337290
  NPD (past) Authorized official

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1811408446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MAIN ST STE C",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043641491",
            "telephone_number": "207-930-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MAIN ST STE C",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "04364",
            "telephone_number": "207-930-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 South Road",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "ME",
            "postal_code": "04364",
            "country_code": "US",
            "telephone_number": "207-930-0833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Commerce Plz Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "ME",
            "postal_code": "043641562",
            "country_code": "US",
            "telephone_number": "207-930-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICHTHORN",
        "first_name": "KIMBERLY",
        "middle_name": "MORGAN",
        "credential": "RDH, IPDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jane Easler, PHARMD
• Jutta M Eichelman, MD
• Elezya a Brookins
• Employment Happens
• Steven J Feldman, LCSW
• Christine Anna Fletcher, NP-C
• Jeanne M Flottemesch, MSW
• Lisa Folk, LCSW
• Shenee Marie Foster, RN
• Jonathan L Gasper, MD

• Dental Hygienist in Winthrop, ME
• Providers in Winthrop, ME by specialty
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.