Kirk a. Kimmerling, D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DN009687 Issued in GA

Legal business name

KIRK A. KIMMERLING, D.D.S., P.C.

Practice address

3700 Largent Way NW
Marietta, GA 30064-1670

Phone

(770) 423-4900

Fax

(770) 590-8694

NPI assigned

Dec 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Andrew Kimmerling, D.D.S.NPI 1114085198

Title

Dentist

Phone

(770) 423-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Andrew Kimmerling, D.D.S.

  • Dentist
  • Marietta, GA
  • NPI 1114085198
  NPD (past) Authorized official

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831267129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 EARLVINE WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525202",
            "telephone_number": "770-421-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LARGENT WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641670",
            "telephone_number": "770-423-4900",
            "fax_number": "770-590-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK A. KIMMERLING, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMMERLING",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-423-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Mathew Kinshaw
• Joseph K Kinuthia, MD
• Ann Kiplagat, RBT
• Thomas Joseph Kirchhofer, DC
• Pamela J Kirchner, PT
• Alan B Kirk, PHD, LCSW
• Adee Lee Kirkconnell, RBT
• Dean M. Kirkel, MD
• Marjan Zarif Kirkland, FNP-C
• Elizabeth R Kirkley, C.N.M.

• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.