Individual provider Active NPI

Janie Jewel Anderson-Kimble, D.D.S.

  • Dentist
  • Lynchburg, VA
National Provider Identifier
1881749711
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007708 Issued in VA
Practice address
2323 Memorial Ave
Suite 22
Lynchburg, VA 24501-2661
Phone
(434) 847-5847
Fax
(434) 847-4452
NPI assigned
Jan 23, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401007708 VA Primary

Addresses

Primary practice location

2323 Memorial Ave
Suite 22
Lynchburg, VA 24501-2661

Mailing address

2158 New Chapel Rd
Rustburg, VA 24588-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312002039 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678899473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn a. Kimble D.D.S. Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881749711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 NEW CHAPEL RD",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245882949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE",
            "address_2": "SUITE 22",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012661",
            "telephone_number": "434-847-5847",
            "fax_number": "434-847-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-KIMBLE",
        "first_name": "JANIE",
        "middle_name": "JEWEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.