Active NPI
Kimi L Dart, D.O.
- Otolaryngology Physician
- Lake Jackson, TX
National Provider Identifier
1881887867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- P6804
- Practice address
- 215 Oak Dr S Ste E
Lake Jackson, TX 77566-5617 - Phone
- (979) 258-5445
- Fax
- (979) 258-6030
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Jackson, TX
- NPI 1972581940
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 Oak Dr S
Suite E
Lake Jackson, TX 77566-5617
Phone (979) 258-5445
Hospital & facility affiliations
- CHI St Luke'S Health Brazosport
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130703000194 | TX | Practitioner - Otolaryngology | 1052551611 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6804 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimi Dart, DO, PLLC | Otolaryngology | Current | Accepting new patients |
| CLS Health PLLC | Past | Accepting new patients |
Locations
215 Oak Dr S
Ste E
Lake Jackson, TX 77566
Phone (979) 258-5445
Interoperability endpoints
- kdart067@yourcarecommunity.org
- kdart@lakejacksonent.emadirect.md
- https://fhir4.healow.com/fhir/r4/CFFDBA
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | P6804 | TX | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | P6804 | TX |
Addresses
NPPES NPI RegistryPrimary practice location
215 Oak Dr S Ste E
Lake Jackson, TX 77566-5617
Mailing address
PO Box 58538
Webster, TX 77598-8538
Other practice location 1
500 N Kobayashi Ste C
Webster, TX 77598-4722
Phone (281) 816-3092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2026.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1881887867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58538",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775988538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 OAK DR S STE E",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665617",
"telephone_number": "979-258-5445",
"fax_number": "979-258-6030"
}
],
"practiceLocations": [
{
"address_1": "500 N Kobayashi Ste C",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775984722",
"country_code": "US",
"telephone_number": "281-816-3092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DART",
"first_name": "KIMI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "P6804",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TX",
"license": "P6804",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.