DR. KIMBERLY WILEY DMD
NPI 1306511555
Dentist - General Practice in Long Beach, CA
About Dr. Kimberly Wiley Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY WILEY DMD (NPI 1306511555) is an individual general practice provider in Long Beach, California, licensed in California (106809) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Univ Of Pennsylvania School Of Dental Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kimberly Wiley Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Wiley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90045
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Wiley's NPI number?
The NPI number for Kimberly Wiley is 1306511555. It was assigned to this individual provider in the NPPES registry on August 10, 2021.
Where is Kimberly Wiley located?
Kimberly Wiley practices at 6226 E Spring St Ste 350, Long Beach, CA 90815. The listed phone number is (562) 425-5511.
What is Kimberly Wiley's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kimberly Wiley enrolled in Medicare?
Yes. Kimberly Wiley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Wiley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wiley reassigns Medicare benefits to Fulbright Dental Group, PC (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Wiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Wiley 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, Florida Combined Life and HRI Dental & Vision and 4 other insurers list Kimberly Wiley 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 Kimberly Wiley was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kimberly Wiley, DMD · NPI 1306511555
General Practice provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1306511555 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 106809 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6226 E SPRING ST STE 350, Long Beach, CA 90815-1447
- **Phone:** (562) 425-5511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Fulbright Dental Group, PC (NPI 1336384619, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Pennsylvania School Of Dental Medicine, class of 2021
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306511555) · Data from the CMS NPPES public registry.