Kimberly Lynn Matthews

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

2111 E Oakland Ave Ste D
Bloomington, IL 61701-5783

Phone

(309) 663-6564

NPI assigned

Jun 22, 2026

Sex

Female

Sole proprietor

No

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

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.

• Solo Dental Group PLLC

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1689562373
  NPD (past)

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1861328478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E OAKLAND AVE STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015783",
            "telephone_number": "309-663-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E OAKLAND AVE STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015783",
            "telephone_number": "309-663-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massage by Megan
• George Massey
• Sarah S Masters
• Leslie Mathers III, M.D.
• Jacqueline Renee Mathias
• Valerie A Mattsey
• Rachel Maxwell, CNP
• Zachariah Maxwell, PHARMD
• Kyle May, APRN, CNP
• Jennifer Renee Mayer

• Dental Hygienist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.