1. Home
  2. Directory
  3. Iowa
  4. Council Bluffs
  5. Dentist
  6. NPI Profile

THOMAS KIMBERLY DDS
NPI 1083141154
Dentist in Council Bluffs, IA

Active since May 18, 2017Opted out of Medicare · through Jun 25, 2028
1509 AVENUE G, COUNCIL BLUFFS, IA 51501(712) 325-1544 Get Directions Write a Review

NPPES record last updated: May 18, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thomas Kimberly Dds NPPES

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

THOMAS KIMBERLY DDS (NPI 1083141154) is an individual dentist in Council Bluffs, Iowa, licensed in Iowa (DDS-09388) and active in the NPI registry since May 2017. He has opted out of Medicare through June 25, 2028.

NPPES Registry Identity

NPI1083141154
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHOMAS KIMBERLYCredential: DDS
Location Address1509 AVENUE GCouncil Bluffs, IA 51501-2516
Mailing Address20 S 41st St Apt 141Council Bluffs, IA 51501-3372 · (330) 328-2885
Phone(712) 325-1544
Sole ProprietorNo
Enumeration DateMay 18, 2017
✔ NPI 1083141154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IA · DDS-09388
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1509 AVENUE G, Council Bluffs, IA 51501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas Kimberly Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2026 through June 25, 2028.

Opt-Out Effective DateJune 25, 2026
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

DR. JOHN BISSON D.D.S.
Dentist (General Practice)
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
DR. ANTON ALEXANDRE DIY D.D.S.
Dentist (General Practice)
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
AMBER NICOLE GRODE DDS
Dentist (General Practice)
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
KEVIN GALVIN, DMD PLLC
Dentist (General Practice)
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
KATHLEEN WARD DDS
Dentist
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
WESTERN IOWA DENTAL GROUP, LLC
Dentist (General Practice)
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
DR. MARIE ANN DAY DDS
Dentist
1509 AVENUE G
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544

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 Thomas Kimberly's NPI number?

The NPI number for Thomas Kimberly is 1083141154. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Thomas Kimberly located?

Thomas Kimberly practices at 1509 Avenue G, Council Bluffs, IA 51501. The listed phone number is (712) 325-1544.

What is Thomas Kimberly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Thomas Kimberly enrolled in Medicare?

No. Thomas Kimberly has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Thomas Kimberly accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Thomas Kimberly 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 Thomas Kimberly was last updated on May 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.