Seth Andrew Kimmelman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7221 Issued in CO

Practice address

219 W Colorado Ave
St 206
Colorado Springs, CO 80903-3336

Phone

(719) 447-1199

Fax

(719) 227-9228

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Seth a Kimmelman DDS PC

  • Dentist
  • Colorado Springs, CO
  • NPI 1760597348
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932328135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W COLORADO AVE",
            "address_2": "ST 206",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033336",
            "telephone_number": "719-447-1199",
            "fax_number": "719-227-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W COLORADO AVE",
            "address_2": "ST 206",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033336",
            "telephone_number": "719-447-1199",
            "fax_number": "719-227-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELMAN",
        "first_name": "SETH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siera Kimble
• William K Kimble
• Austin Michelle Kimbrell
• Jennifer Kimbrough
• Julia Kimlinger
• Joy Kimmins
• Dawn Kimura
• Christopher Hanley Kincaid, RBT
• Courtnie Kincaid
• Madison E Kincaid, RN

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.