Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK MAURICE KIMMERLE DDS
NPI 1871536987
Dentist in Golden Valley, MN

Q: What is Jack Kimmerle's NPI number?

The NPI number for Jack Kimmerle is 1871536987. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Jack Kimmerle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Kimmerle was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 June 14, 2006

2445 WINNETKA AVE N, GOLDEN VALLEY, MN 55427(763) 545-7200 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Maurice Kimmerle Dds NPPES

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

JACK MAURICE KIMMERLE DDS (NPI 1871536987) is an individual dentist in Golden Valley, Minnesota, licensed in Minnesota (7214) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1871536987

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACK MAURICE KIMMERLECredential: DDS

Location Address2445 WINNETKA AVE NGolden Valley, MN 55427-3598

Mailing Address2445 Winnetka Ave NGolden Valley, MN 55427-3598

Phone(763) 545-7200

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1871536987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · 7214

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.

2445 WINNETKA AVE N, Golden Valley, MN 55427

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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 Jack Kimmerle's NPI number?

The NPI number for Jack Kimmerle is 1871536987. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jack Kimmerle located?

Jack Kimmerle practices at 2445 Winnetka Ave N, Golden Valley, MN 55427. The listed phone number is (763) 545-7200.

What is Jack Kimmerle's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Kimmerle was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.