KYMBERLI A. MUMFORD-CLARKE DDS
NPI 1316965742
Dentist - General Practice in Jacksonville, FL

Q: What is Kymberli Mumford-clarke's NPI number?

The NPI number for Kymberli Mumford-clarke is 1316965742. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Kymberli A. Mumford Dds.

Q: What is Kymberli Mumford-clarke's specialty?

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

Active since July 17, 2006PECOS Enrolled

2804 SAINT JOHNS BLUFF RD S STE 200, JACKSONVILLE, FL 32246(904) 493-1005(904) 345-2961 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kymberli A. Mumford-clarke Dds NPPES

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

KYMBERLI A. MUMFORD-CLARKE DDS (NPI 1316965742) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN0015848) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316965742

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKYMBERLI A. MUMFORD-CLARKECredential: DDS

Location Address2804 SAINT JOHNS BLUFF RD S STE 200Jacksonville, FL 32246-3778

Mailing Address2804 Saint Johns Bluff Rd S Ste 200Jacksonville, FL 32246-3778 · (904) 493-1005 · Fax (904) 345-2961

Phone(904) 493-1005

Fax(904) 345-2961

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1316965742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN0015848

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.

2804 SAINT JOHNS BLUFF RD S STE 200, Jacksonville, FL 32246

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Other Names 1

Former Name (1)Kymberli A. Mumford Dds

Other Identifiers 1

Medicaid075583400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, 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)

Kymberli A. Mumford-clarke Dds 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 32246 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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

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

KAYC GROUP PA

Dentist (General Practice)

2804 SAINT JOHNS BLUFF RD S STE 200
JACKSONVILLE, FL 32246

Duval County (904) 493-1005

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 Kymberli Mumford-clarke's NPI number?

The NPI number for Kymberli Mumford-clarke is 1316965742. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Kymberli A. Mumford Dds.

Where is Kymberli Mumford-clarke located?

Kymberli Mumford-clarke practices at 2804 Saint Johns Bluff Rd S Ste 200, Jacksonville, FL 32246. The listed phone number is (904) 493-1005.

What is Kymberli Mumford-clarke's specialty?

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

Is Kymberli Mumford-clarke enrolled in Medicare?

Yes. Kymberli Mumford-clarke is registered in the Medicare PECOS enrollment system.

What insurance does Kymberli Mumford-clarke accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Kymberli Mumford-clarke 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 Kymberli Mumford-clarke was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.