Individual provider Active NPI

Kenneth Gimple, MD

  • Orthopaedic Surgery Physician
  • Topeka, KS
National Provider Identifier
1891770335
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04 17836 Issued in KS
Practice address
6001 SW 6TH Ave
Ste 200
Topeka, KS 66615-1011
Phone
(785) 233-7491
Fax
(785) 233-3187
NPI assigned
Dec 7, 2005
Last updated
Oct 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04 17836 KS Primary

Addresses

Primary practice location

6001 SW 6TH Ave
Ste 200
Topeka, KS 66615-1011

Mailing address

6001 SW 6TH Ave
Ste 200
Topeka, KS 66615-1011
Phone (785) 233-7491

Other identifiers 2

IdentifierTypeStateIssuer
200032752OtherRR MEDICARE
100169740BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04 17836KSMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1891770335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE",
            "address_2": "STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151011",
            "telephone_number": "785-233-7491",
            "fax_number": "785-233-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE",
            "address_2": "STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151011",
            "telephone_number": "785-233-7491",
            "fax_number": "785-233-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMPLE",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04 17836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200032752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169740B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.