CELIA YVONNE MIMMS DDS
NPI 1871845321
Dentist - General Practice in Chicago, IL
About Celia Yvonne Mimms Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CELIA YVONNE MIMMS DDS (NPI 1871845321) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019029248) and active in the NPI registry since October 2012. She has opted out of Medicare through April 16, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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
Celia Yvonne Mimms Dds 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 April 16, 2021 through April 16, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60652 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Celia Mimms's NPI number?
The NPI number for Celia Mimms is 1871845321. It was assigned to this individual provider in the NPPES registry on October 9, 2012.
Where is Celia Mimms located?
Celia Mimms practices at 2555 W 79th St, Chicago, IL 60652. The listed phone number is (773) 434-1515.
What is Celia Mimms's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Celia Mimms enrolled in Medicare?
No. Celia Mimms has opted out of Medicare through April 16, 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 Celia Mimms accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Celia Mimms 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 Celia Mimms was last updated on April 16, 2021. 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.
# Celia Yvonne Mimms, DDS · NPI 1871845321
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since October 9, 2012.
## Identity
- **NPI:** 1871845321 (Entity type: Individual)
- **Enumerated:** October 9, 2012
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019029248 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 W 79TH ST, Chicago, IL 60652-1729
- **Phone:** (773) 434-1515
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 16, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871845321) · Data from the CMS NPPES public registry.