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DR. DONATHAN SCOTT KIMBROUGH
NPI 1063641736
Dentist - General Practice in Springdale, AR

Active since July 02, 2009PECOS Enrolled
2702 AMERICAN ST, SPRINGDALE, AR 72764(479) 751-9899(479) 751-8705 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donathan Scott Kimbrough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONATHAN SCOTT KIMBROUGH (NPI 1063641736) is an individual general practice provider in Springdale, Arkansas, licensed in Arkansas (3706) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063641736
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONATHAN SCOTT KIMBROUGH
Location Address2702 AMERICAN STSpringdale, AR 72764-6937
Mailing Address2702 American StSpringdale, AR 72764-6937 · (479) 751-9899 · Fax (479) 751-8705
Phone(479) 751-9899
Fax(479) 751-8705
Sole ProprietorNo
Enumeration DateJuly 2, 2009
Last NPPES UpdateJuly 15, 2009
✔ NPI 1063641736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3706
Definition
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.
2702 AMERICAN ST, Springdale, AR 72764
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donathan Scott Kimbrough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDAL S. KIMBROUGH
Dentist (General Practice)
2702 AMERICAN ST
SPRINGDALE, AR 72764
Washington County (479) 751-9899
DR. RANDAL SHEPARD KIMBROUGH D.D.S.
Dentist (General Practice)
2702 AMERICAN ST
SPRINGDALE, AR 72764
Washington County (479) 751-9899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donathan Kimbrough's NPI number?

The NPI number for Donathan Kimbrough is 1063641736. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Donathan Kimbrough located?

Donathan Kimbrough practices at 2702 American St, Springdale, AR 72764. The listed phone number is (479) 751-9899.

What is Donathan Kimbrough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donathan Kimbrough enrolled in Medicare?

Yes. Donathan Kimbrough is registered in the Medicare PECOS enrollment system.

What insurance does Donathan Kimbrough accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Donathan Kimbrough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donathan Kimbrough was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.