Active NPI
Kimberly K. York-Johnson, DDS
- Dentist
- Aurora, CO
National Provider Identifier
1992841498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7465
- Practice address
- 5492 South Parker Rd.
Aurora, CO 80015 - Phone
- (303) 680-6000
- Fax
- (303) 690-4102
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7465 | CO | Primary |
Addresses
Primary practice location
5492 South Parker Rd.
Aurora, CO 80015
Mailing address
15901 E Briarwood Cir
350
Aurora, CO 80016-1599
Phone (303) 680-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150511000531 | CO | Order and Referring Only - Dentist | 4880913045 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7465 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1992841498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15901 E BRIARWOOD CIR",
"address_2": "350",
"city": "AURORA",
"state": "CO",
"postal_code": "800161599",
"telephone_number": "303-680-6000",
"fax_number": "303-680-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5492 SOUTH PARKER RD.",
"city": "AURORA",
"state": "CO",
"postal_code": "80015",
"telephone_number": "303-680-6000",
"fax_number": "303-690-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK-JOHNSON",
"first_name": "KIMBERLY",
"middle_name": "K.",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "7465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.