| NPI | 1104984483 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-05 |
| Last Updated | 2013-03-25 |
| Mailing Address | 820 1st Ave Se, Suite 400 Aberdeen, SD 57401-4601 United States Phone: (605) 225-9362 | Fax: (605) 229-7317 📍 View Map |
| Primary Practice Address | 820 1st Ave Se, Suite 400 Aberdeen, SD 57401-4601 United States Phone: (605) 225-9362 | Fax: (605) 229-7317 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | SD | 0006084 | Blue Cross |
| MEDICAID | ND | 41240 | — |
| MEDICAID | SD | 8000400 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | SD | M862 |
| No | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | SD | SD4237 |
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About NPI 1104984483
Carl Mccamey Kimbler DMD MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104984483. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The provider is located in Aberdeen, SD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104984483?
NPI 1104984483 belongs to Carl Mccamey Kimbler DMD MD, a Dentist, Oral and Maxillofacial Surgery in Aberdeen, SD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104984483 active?
The current status of NPI 1104984483 in the NPPES registry is Active. The record was last updated on 2013-03-25.
What specialty is NPI 1104984483?
NPI 1104984483 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104984483?
You can verify NPI 1104984483 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104984483?
The primary practice address on file for NPI 1104984483 is 820 1st Ave Se, Aberdeen, SD 57401-4601. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104984483 issued?
NPI 1104984483 was first issued (enumerated) on 2006-12-05. The NPPES record was last updated on 2013-03-25.
Practice Location Map
Carl Mccamey Kimbler is located at 820 1st Ave Se, Aberdeen, SD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Carl Mccamey Kimbler. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104984483. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Oral and Maxillofacial Surgery | M862 | SD |
| Dentist, Oral and Maxillofacial Surgery | SD4237 | SD |