DAVID R. KIMBERLY DDS, MD
NPI 1316021363
Oral & Maxillofacial Surgery in Akron, OH

Active since October 25, 2006Opted out of Medicare · through Dec 14, 2027
539 WHITE POND DRIVE, SUITE C, AKRON, OH 44320(330) 836-2882(330) 836-6085 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David R. Kimberly Dds, Md NPPES

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

DAVID R. KIMBERLY DDS, MD (NPI 1316021363) is an individual oral & maxillofacial surgery provider in Akron, Ohio, licensed in Ohio (35.080912) and active in the NPI registry since October 2006. He has opted out of Medicare through December 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316021363
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDAVID R. KIMBERLYCredential: DDS, MD
Location Address539 WHITE POND DRIVE, SUITE CAkron, OH 44320
Mailing Address539 White Pond Drive, Suite CAkron, OH 44320 · (330) 836-2882 · Fax (330) 836-6085
Fax(330) 836-6085
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
NPI 1316021363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in OH · 35.080912
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
539 WHITE POND DRIVE, Akron, OH 44320

Accepted 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

David R. Kimberly Dds, Md 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 December 14, 2015 through December 14, 2027.

Opt-Out Effective DateDecember 14, 2015
Opt-Out In Effect ThroughDecember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Dentist (Oral and Maxillofacial Surgery)
539 WHITE POND DRIVE, SUITE C
AKRON, OH 44320
Dentist (Oral and Maxillofacial Surgery)
539 WHITE POND DRIVE, SUITE C
AKRON, OH 44320
Dentist (Oral and Maxillofacial Surgery)
539 WHITE POND DRIVE, SUITE C
AKRON, OH 44320

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 David Kimberly's NPI number?

The NPI number for David Kimberly is 1316021363. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is David Kimberly located?

David Kimberly practices at 539 White Pond Drive Suite C, Akron, OH 44320. The listed phone number is (330) 836-2882.

What is David Kimberly's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is David Kimberly enrolled in Medicare?

No. David Kimberly has opted out of Medicare through December 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Kimberly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list David 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 David Kimberly was last updated on October 22, 2020. 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.