Emily M Kimes, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3882 Issued in AR

Practice address

1090 East Main St
Booneville, AR 72927

Phone

(479) 675-2009

Fax

(479) 675-5446

NPI assigned

Jun 26, 2012

Sex

Female

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 AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kimes Family Dentistry PLLC

  • Dental Clinic/Center
  • Booneville, AR
  • NPI 1538675103
  NPD Authorized official

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1982968822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729270088",
            "telephone_number": "479-675-2009",
            "fax_number": "479-675-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 EAST MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-2009",
            "fax_number": "479-675-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Hendrix, M.D.
• David Sean Hopkins
• Ashley Hughes, QBHP
• Keb Transport LLC
• Kimes Family Dentistry PLLC
• Gordon Law
• Lincare Inc.
• Loftin Dental, PLLC
• Christopher Clayton Loftin, D.D.S.
• Logan County Day Service Center for Limited Children Inc

• Dentist in Booneville, AR
• Providers in Booneville, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.