DR. KIMBERLEY M.H. BOLDEN D.D.S.
NPI 1093873903
Dentist - General Practice in Chicago, IL

Q: What is Kimberley Bolden's NPI number?

The NPI number for Kimberley Bolden is 1093873903. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Kimberley Bolden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberley Bolden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 04, 2006PECOS Enrolled

55 E WASHINGTON ST STE 3104, CHICAGO, IL 60602(312) 372-7874(312) 372-7876 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kimberley M.h. Bolden D.d.s. NPPES

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

DR. KIMBERLEY M.H. BOLDEN D.D.S. (NPI 1093873903) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093873903

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KIMBERLEY M.H. BOLDENCredential: D.D.S.

Location Address55 E WASHINGTON ST STE 3104Chicago, IL 60602-2259

Mailing Address55 E Washington St Ste 3104Chicago, IL 60602-2259 · (312) 372-7874 · Fax (312) 372-7876

Phone(312) 372-7874

Fax(312) 372-7876

Sole ProprietorNo

Enumeration DateDecember 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093873903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

55 E WASHINGTON ST STE 3104, Chicago, IL 60602

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Kimberley M.h. Bolden D.d.s. 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 60602 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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 Kimberley Bolden's NPI number?

The NPI number for Kimberley Bolden is 1093873903. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Kimberley Bolden located?

Kimberley Bolden practices at 55 E Washington St Ste 3104, Chicago, IL 60602. The listed phone number is (312) 372-7874.

What is Kimberley Bolden's specialty?

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

Is Kimberley Bolden enrolled in Medicare?

Yes. Kimberley Bolden is registered in the Medicare PECOS enrollment system.

What insurance does Kimberley Bolden accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 2 other insurers list Kimberley Bolden 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 Kimberley Bolden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.