Active NPI
Katherine Lynn Kincaid, DDS
- General Practice Dentistry
- Uniontown, OH
National Provider Identifier
1962067892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.025740
- Practice address
- 13718 Cleveland Ave NW
Uniontown, OH 44685-8066 - Phone
- (330) 699-9044
- Fax
- (330) 699-1744
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.025740 | OH | Primary |
Addresses
Primary practice location
13718 Cleveland Ave NW
Uniontown, OH 44685-8066
Mailing address
970 Pelee Dr
Akron, OH 44333-2955
Phone (330) 957-4092
Other practice location 1
34155 Center Ridge Rd
North Ridgeville, OH 44039-3221
Phone (440) 929-0463
Other names 1
- Dr. Katherine Lynn Kimberly
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025740 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1962067892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 PELEE DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443332955",
"telephone_number": "330-957-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13718 CLEVELAND AVE NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858066",
"telephone_number": "330-699-9044",
"fax_number": "330-699-1744"
}
],
"practiceLocations": [
{
"address_1": "34155 Center Ridge Rd",
"address_purpose": "LOCATION",
"city": "North Ridgeville",
"state": "OH",
"postal_code": "440393221",
"country_code": "US",
"telephone_number": "440-929-0463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINCAID",
"first_name": "KATHERINE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.025740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "KIMBERLY",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Uniontown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.