DR. KIM DAVID KEISNER (NPI# 1851396980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851396980 |
| Entity Type | Individual |
| Full Name | DR. KIM DAVID KEISNER |
| Credential | D.D.S. |
| Practice Address |
1493 Forest Hills Blvd Ste C Bella Vista AR 72715-5037 |
| Practice Telephone | 4798553313 |
| Mailing Telephone | 4798553313 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2511 | AR | Dental Providers |
| Street Address |
1493 FOREST HILLS BLVD STE C |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72715-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272850 | Colton Alan Carmical | Dentist | 1493 Forest Hills Blvd, Bella Vista, AR 72715-5068 | 2020-07-22 |
| 1518418656 | Douglas A Carmical, Dds, Pa | Clinic/Center | 1493 Forest Hills Blvd, Ste C, Bella Vista, AR 72715-5068 | 2016-10-24 |
| 1851313746 | Kim D. Keisner, D.d.s., P.a. | Clinic/Center | 1493 Forest Hills Blvd, Suite C, Bella Vista, AR 72715-5068 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1588892822 | Judith Ann Hamby | Physical Therapist | 1801 Forest Hills, Suite 205, Bella Vista, AR 72715 | 2009-06-25 |
| 1184789398 | Kurt Solera | Dentist | 600 West Lancashire Blvd, Bella Vista, AR 72715 | 2006-12-27 |
| 1366532749 | Sonja Ruth Kvale | Counselor | 5 Player Lane, Bella Vista, AR 72715 | 2006-10-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| 1790742021 | Coleen Leann Moore | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715 | 2006-04-28 |
| 1932165982 | Mountaincrest Rehab of Bella Vista, Inc. | Physical Therapist | 1801 Forest Hills Blvd, Ste #205, Bella Vista, AR 72715 | 2006-04-26 |
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1407814270 | Richard Wayne Miles | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2006-05-02 |
| 1073748141 | Richard W. Miles, M.d. & Assoc., Pllc | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2009-05-19 |
| Find all providers in zip 72715 | ||||
| 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 |
|---|---|---|---|---|
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1942383245 | Chris R Combs | Dentist | 2690 Bella Vista Way, Bella Vista, AR 72714-3704 | 2006-10-23 |
| 1336447226 | Chris R. Combs D.d.s., P.a. | Dentist | 2690 Bella Vista Way, Bella Vista, AR 72714-3704 | 2011-03-02 |
| 1588683700 | Noble Skidmore Dallison | Dentist | 1 Professional Dr, Bella Vista, AR 72714-2462 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826944 | Atlas Dental Partners Pllc | Dentist | 3903 W Financial Pkwy, Rogers, AR 72758-1471 | 2020-09-17 |
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1790394393 | Robert W Bassham Dds Pa | Dentist | 669 Addison Dr, Wynne, AR 72396-1602 | 2020-07-29 |
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1144848490 | Abbey Lynn Norwood | Dentist | 5501 W Pinnacle Pointe Dr Ste 1, Rogers, AR 72758-8133 | 2020-07-13 |
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1235753682 | Drew Bannerman Dds, P.a. | Dentist | 4603 Fairway Ave, North Little Rock, AR 72116-8052 | 2020-06-02 |
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72715 |
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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.