Robert J Kimmel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7864 Issued in NV

Practice address

5 Pine Cone Rd
Ste 102
Dayton, NV 89403-7393

Phone

(775) 884-2455

NPI assigned

Oct 19, 2006

Last updated

Oct 4, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dayton Medical Associates

  • Family Medicine Physician
  • Dayton, NV
  • NPI 1093839391
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1982786943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21530",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897211530",
            "telephone_number": "775-884-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE CONE RD",
            "address_2": "STE 102",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037393",
            "telephone_number": "775-884-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Chandler Johnson, LCSW
• Barbara Alice Jones, L.A.D.C.
• Douglas D. Karwoski, D.D.S.
• Daren Earl Kight
• Summer M Killen
• Renee Lamendola
• Jennifer N Leach, MA, MFT-I, CADC-I
• Brittany Lynn Lee
• Aaron Lewis, PHARMD
• Life Without Limits Home Car

• Family Medicine Physician in Dayton, NV
• Providers in Dayton, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.