Organization Active NPI

Kimberly K Hill DMD PSC

  • General Practice Dentistry
  • Madisonville, KY
National Provider Identifier
1871870915
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6736 Issued in KY
Legal business name
KIMBERLY K HILL DMD PSC
Practice address
344 E Arch St
Madisonville, KY 42431-2102
Phone
(270) 821-8172
Fax
(270) 821-5593
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Kimberly K Hill, DMDNPI 1669552766
Title
Owner
Phone
(270) 821-8172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6736 KY Primary

Addresses

Primary practice location

344 E Arch St
Madisonville, KY 42431-2102

Mailing address

344 E Arch St
Madisonville, KY 42431-2102
Phone (270) 821-8172

Other identifiers 1

IdentifierTypeStateIssuer
60067360MedicaidKY

National Provider Directory

National Provider Directory

Locations

344 E Arch St
Madisonville, KY 42431
Phone (270) 821-2862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1871870915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E ARCH ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312102",
            "telephone_number": "270-821-8172",
            "fax_number": "270-821-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E ARCH ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312102",
            "telephone_number": "270-821-8172",
            "fax_number": "270-821-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY K HILL DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-821-8172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60067360",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.