DR. KENNETH M. KIMBLE (NPI# 1124235056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124235056 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M. KIMBLE |
| Credential | D.D.S. |
| Practice Address |
18555 N 79th Ave Ste #b 106 Glendale AZ 85308-8370 |
| Practice Telephone | 6234127700 |
| Practice Fax Number | 6234121588 |
| Mailing Telephone | 6234127700 |
| Mailing Fax Number | 6234121588 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
5101 | AZ | Dental Providers |
| Street Address |
18555 N 79TH AVE STE #B 106 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395444 | Arizona Family Care Pllc | Family Medicine | 18555 N 79th Ave, B-108, Glendale, AZ 85308 | 2005-09-09 |
| 1184018434 | Westside Endodontic Professionals, Ltd. | Dentist | 18555 N 79th Ave, Suite D104, Glendale, AZ 85308-8370 | 2015-03-25 |
| 1245623834 | Elite Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 18555 N 79th Ave, Building C, Glendale, AZ 85308-8370 | 2015-03-06 |
| 1538586623 | Samuel Sickmeyer | Chiropractor | 18555 N 79th Ave, Suite B-103, Glendale, AZ 85308-8370 | 2014-03-26 |
| 1396174454 | Surgery Center of Scottsdale LLC | Clinic/Center | 18555 N 79th Ave, Bldg C, Glendale, AZ 85308-8370 | 2013-11-08 |
| 1548516115 | Michael L. Sweeney,msw,p.c. | Social Worker | 18555 N 79th Ave, Suite B-103, Glendale, AZ 85308-8370 | 2012-08-01 |
| 1417237975 | Sara Cherepinsky | Physical Therapy Assistant | 18555 N 79th Ave, Glendale, AZ 85308-8370 | 2011-08-27 |
| 1063717213 | Smriti Rana, Md, Pllc | Internal Medicine | 18555 N 79th Ave, B102, Glendale, AZ 85308-8370 | 2011-01-19 |
| 1235446071 | Jolynn Bierman | Speech-Language Pathologist | 18555 N 79th Ave, Glendale, AZ 85308-8370 | 2010-08-31 |
| 1659696474 | Angelina C Pecak | Occupational Therapist | 18555 N 79th Ave, Ste B101, Glendale, AZ 85308-8370 | 2010-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134426521 | Joseph Mounir Morcos | Dentist | 1125 Idlewood Rd, Glendale, CA 91202-2008 | 2011-02-21 |
| 1336365790 | Mark Jungwon Pak | Dentist | 1809 Verdugo Blvd Ste 330, Glendale, CA 91208-1402 | 2007-04-17 |
| 1063597417 | Edith Gevorgian | Dentist | 332 E Glenoaks Blvd, #100, Glendale, CA 91207 | 2006-10-26 |
| 1285897660 | Tyler Jensen Hendry | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203-2081 | 2008-07-07 |
| 1518176437 | Irwin Feinberg | Dentist | 18555 N 79th Ave, Bldg B-106, Glendale, AZ 85308-8370 | 2007-05-21 |
| 1336281856 | Andrew Michael Steinhilber | Dentist | 5855 W Utopia Rd, Glendale, AZ 85308-5251 | 2007-02-12 |
| 1164572939 | Glenn Stephen Roeder | Dentist | 230 N Maryland Ave, Glendale, CA 91206-4261 | 2007-01-11 |
| 1255433645 | Tannaz Zahra Malekzadeh | Dentist | 20100 N 51st Ave, Ste F650, Glendale, AZ 85308-5125 | 2006-09-05 |
| 1508873167 | Stephen B Goldman | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203 | 2006-08-03 |
| 1528097516 | Vanessa Coelho Marinho | Dentist | 17250 N 43rd Ave, Suite 5, Glendale, AZ 85308-4035 | 2006-07-02 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on DR. KENNETH M. KIMBLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.