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Deactivated NPI 1053370635 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Joel Kimbrough , DDS

Dentist - General Practice • Midland, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Kimbrough has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2006
NPI Deactivation Date August 23, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Kimbrough, DDS was a registered Dentist - General Practice practicing in Midland, TX. Throughout an active medical career spanning 17 years, Dr. Kimbrough provided care at the practice location at 3300 HAYNES AVE until profile deactivation on 2023-08-23.

Practice Location & Contact Primary Location

Practice Address

3300 Haynes Ave

Midland, TX 797073600

Telephone 4326997360
Fax 4326997336

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
57 Specialists

Practicing in Midland, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 8200

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. James Carpenter , DDS

Dentist - General Practice

NPI 1861577215

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 23, 2023

Record deactivated on August 23, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3300 HAYNES AVE, MIDLAND, TX 797073600 (Tel: 4326997360)

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Updated Business Mailing Address July 08, 2007

Registered at 3300 HAYNES AVE, MIDLAND, TX 797073600 (Tel: 4326997360)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH KIMBROUGH, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8200 in TX)

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Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053370635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: July 08, 2007
Deactivation Date: August 23, 2023

Mailing Address

3300 Haynes Ave

Midland, TX 797073600

Phone: 4326997360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.