DR. KIMBERLY J LAKE (NPI# 1366773517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366773517 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY J LAKE |
| Credential | DDS |
| Practice Address |
3434 W Illinois Ave Ste 307 Dallas TX 75211-8709 |
| Mailing Address |
430 W Erie St Ste 200 Chicago IL 60654-6914 |
| Practice Telephone | 8176898656 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
25182 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376594713 | Kimberly Sue Lake | Chiropractor | 2525 Kimberly Rd, Ste #1, Bettendorf, IA 52722-3538 | 2006-05-12 |
| 1811472277 | Kimberly Lake | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-10-01 |
| 1821532250 | Kimberly Jane Lake | Nurse Practitioner | 250 W 89th St, Apartment 11f, New York, NY 10024-1700 | 2016-12-03 |
| 1629218656 | Kimberly Marie Lake | Behavioral Analyst | 215 E 95th St, 15f, New York, NY 10128-4077 | 2009-03-03 |
| Street Address |
3434 W ILLINOIS AVE STE 307 |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124134176 | Healthkwik Texas Inc | Clinic/Center | 3434 W Illinois Ave, Dallas, TX 75211-8796 | 2006-08-22 |
| 1205483864 | Behzad Azamvaghefi | Chiropractor | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2019-08-19 |
| 1215448063 | Amber Marie Smith | Chiropractor | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2017-10-19 |
| 1821547043 | Audrey Larson | Chiropractor | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2016-09-29 |
| 1265818165 | Parsa Diagnostics | Chiropractor | 3434 W Illinois Ave, Ste. 118, Dallas, TX 75211-8709 | 2015-08-03 |
| 1285016618 | Jonathan To | Chiropractor | 3434 W Illinois Ave, Suite 118, Dallas, TX 75211-8709 | 2015-06-22 |
| 1225434533 | Long Nguyen | Chiropractor | 3434 W Illinois Ave, 118, Dallas, TX 75211-8709 | 2014-11-13 |
| 1477894798 | Muhibunnisa Shaik | Dentist | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2013-03-12 |
| 1861744898 | Chriselda Juanita Schroeder | Nurse Practitioner | 3434 W Illinois Ave, Ste 306-3, Dallas, TX 75211-8709 | 2012-10-15 |
| 1508151994 | Kathryn Nicole Gray | Nurse Practitioner | 3434 W Illinois Ave, 306-3, Dallas, TX 75211-8709 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
| 1104317601 | May Amria | Dentist | 3434 W Illinois Ave Ste 307, Dallas, TX 75211 | 2018-05-21 |
| 1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
| 1568733616 | Amit Sethi | Dentist | 4475 Adler Dr Ste 103, Dallas, TX 75211 | 2012-01-21 |
| 1265764914 | Thomas Lee Schiller | Dentist | 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 | 2010-02-05 |
| 1407030570 | Sylvia Dupuy | Speech-Language Pathologist | 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 | 2007-12-24 |
| 1801088802 | Smile Care Orthodontics | Dentist | 4390 I-30, Ste 200, Dallas, TX 75211 | 2007-08-14 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1578785515 | Rabiu E Omolaja | Case Manager/Care Coordinator | 1353 N. Westmoreland Road #2, Dallas, TX 75211 | 2007-05-02 |
| 1982828687 | Yokitha Kenyetta Hamp | Counselor | 1253 Westmoreland, Dallas, TX 75211 | 2007-04-12 |
| Find all providers in zip 75211 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
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| 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.