DR. THEODORE S KIMBALL III DDS
NPI 1669664553
Dentist in Kingman, AZ

Active since August 14, 2007PECOS Enrolled
2065 AIRWAY AVE, SUITE B, KINGMAN, AZ 86409(928) 718-0002(928) 718-0007 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theodore S Kimball Iii Dds NPPES

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

DR. THEODORE S KIMBALL III DDS (NPI 1669664553) is an individual dentist in Kingman, Arizona, licensed in Arizona (AZ4670) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669664553
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THEODORE S KIMBALL IIICredential: DDS
Location Address2065 AIRWAY AVE, SUITE BKingman, AZ 86409-3656
Mailing Address2065 Airway Ave, Suite BKingman, AZ 86409-3656 · (928) 718-0002 · Fax (928) 718-0007
Fax(928) 718-0007
Sole ProprietorYes
Enumeration DateAugust 14, 2007
Last NPPES UpdateAugust 6, 2015
NPI 1669664553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · AZ4670
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2065 AIRWAY AVE, Kingman, AZ 86409

Accepted 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. Theodore S Kimball Iii 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 86409 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

Dentist
2065 AIRWAY AVE, STE A
KINGMAN, AZ 86409
Clinic/Center (Sleep Disorder Diagnostic)
2065 AIRWAY AVE, SUITE B
KINGMAN, AZ 86409
Dentist
2065 AIRWAY AVE, SUITE B
KINGMAN, AZ 86409

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 Theodore Kimball's NPI number?

The NPI number for Theodore Kimball is 1669664553. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Theodore Kimball located?

Theodore Kimball practices at 2065 Airway Ave Suite B, Kingman, AZ 86409. The listed phone number is (928) 718-0002.

What is Theodore Kimball's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Theodore Kimball enrolled in Medicare?

Yes. Theodore Kimball is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Kimball accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Theodore Kimball 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 Theodore Kimball was last updated on August 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.