Active NPI
Kimbal Coventry Sheffield, D.D.S.
- General Practice Dentistry
- Dayville, CT
National Provider Identifier
1962656397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6629
- Practice address
- 1040 N. Main Street
Kimbal Sheffield, D.D.S., L.L.C.
Dayville, CT 06241 - Phone
- (860) 779-1053
- Fax
- (860) 779-7137
- NPI assigned
- Nov 12, 2008
- Sex
- Male
- 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 | 6629 | CT | Primary |
Addresses
Primary practice location
1040 N. Main Street
Kimbal Sheffield, D.D.S., L.L.C.
Dayville, CT 06241
Mailing address
1040 N. Main Street
Kimbal Sheffield, D.D.S., L.L.C.
Dayville, CT 06241
Phone (860) 779-1053
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 |
|---|---|---|---|
| 6629 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimbal Sheffield DDS and David Caron DMD LLC | 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 and National Provider Directory roles.
-
- Dentist
- Dayville, CT
- NPI 1447353156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1962656397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 N. MAIN STREET",
"address_2": "KIMBAL SHEFFIELD, D.D.S., L.L.C.",
"city": "DAYVILLE",
"state": "CT",
"postal_code": "06241",
"telephone_number": "860-779-1053",
"fax_number": "860-779-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N. MAIN STREET",
"address_2": "KIMBAL SHEFFIELD, D.D.S., L.L.C.",
"city": "DAYVILLE",
"state": "CT",
"postal_code": "06241",
"telephone_number": "860-779-1053",
"fax_number": "860-779-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFIELD",
"first_name": "KIMBAL",
"middle_name": "COVENTRY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-12",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "6629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.