KIMBERLY D WILSON
NPI 1447772124
Dental Hygienist in Olivehurst, CA

Q: What is Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1447772124. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Q: What is Kimberly Wilson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on September 17, 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.

Active since July 13, 2017PECOS Enrolled

4941 OLIVEHURST AVE, OLIVEHURST, CA 95961(530) 743-4614 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2020, Jul 13, 2017 (2 updates tracked since 2017).

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About Kimberly D Wilson NPPES

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

KIMBERLY D WILSON (NPI 1447772124) is an individual dental hygienist in Olivehurst, California, licensed in California (24554) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Huachauca, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1447772124

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameKIMBERLY D WILSON

Location Address4941 OLIVEHURST AVEOlivehurst, CA 95961-4225

Mailing Address935 Market StYuba City, CA 95991-4217 · (916) 292-2377

Phone(530) 743-4614

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 13, 2017

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1447772124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · 24554

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

4941 OLIVEHURST AVE, Olivehurst, CA 95961

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Secondary Practice Location 1

Location 12240 E. Winrow Ave, US Army Dental Clinic Commandfort Huachauca, AA 85613 · Phone (520) 533-3144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly D Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628584158

PECOS Enrollment IDI20250722002679

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.

Other Providers at the Same Location NPPES 20

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

HARPREET K JOHL MD

Family Medicine

4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

FRANCISCO HERNANDEZ MARTINEZ PA

Physician Assistant (Medical)

4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

DR. SAM Y.H. KIM DDS

Dentist (General Practice)

4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

GARY R. AMATANGELO D.D.S.

Dentist

4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

Yuba County (530) 743-4614

KIMBERLEE KAE FRITZ FNP

Nurse Practitioner

4941 OLIVEHURST AVE, AMPLA HEALTH LINDHURST MEDICAL & DENTAL
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

DWAYNE P VANDERBERG M.D.

Internal Medicine

4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

BELQUIS AMANI PA

Physician Assistant

4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

VONDA KAY TREAT NP

Nurse Practitioner

4941 OLIVEHURST AVE, STE 600
OLIVEHURST, CA 95961

Yuba County (530) 743-4611

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 Wilson's NPI number?

The NPI number for Kimberly Wilson is 1447772124. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Kimberly Wilson located?

Kimberly Wilson practices at 4941 Olivehurst Ave, Olivehurst, CA 95961. The listed phone number is (530) 743-4614.

What is Kimberly Wilson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Is Kimberly Wilson enrolled in Medicare?

Yes. Kimberly Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on September 17, 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.