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KIMBERLY D SMITH DDS
NPI 1912120023
Dentist - General Practice in Ridgeway, SC

Active since April 10, 2007PECOS Enrolled
755 US HIGHWAY 21 S, RIDGEWAY, SC 29130(803) 337-2920(803) 337-3010 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly D Smith Dds NPPES

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

KIMBERLY D SMITH DDS (NPI 1912120023) is an individual general practice provider in Ridgeway, South Carolina, licensed in South Carolina (4291) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912120023
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKIMBERLY D SMITHCredential: DDS
Location Address755 US HIGHWAY 21 SRidgeway, SC 29130-6844
Mailing Address755 Us Highway 21 SRidgeway, SC 29130-6844 · (803) 337-2920 · Fax (803) 337-3010
Phone(803) 337-2920
Fax(803) 337-3010
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1912120023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SC · 4291✔ Licensed in GA · DN013063
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.
755 US HIGHWAY 21 S, Ridgeway, SC 29130
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Other Identifiers 2

Medicaid599440686AGA
MedicaidZX4291SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield 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)

Kimberly D Smith 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 29130 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 6

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

SHARRELL TONYA ODOM NP
Nurse Practitioner (Family)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
ANGELA EVANS-MORALES NP
Nurse Practitioner (Gerontology)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
LOUQUIS CANTY BELK
Dentist (General Practice)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
JANDRETTE ATAYAE RHOE MD
Family Medicine
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
DARIEN HARRIS PA
Physician Assistant
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920

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 Smith's NPI number?

The NPI number for Kimberly Smith is 1912120023. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Kimberly Smith located?

Kimberly Smith practices at 755 Us Highway 21 S, Ridgeway, SC 29130. The listed phone number is (803) 337-2920.

What is Kimberly Smith's specialty?

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

Is Kimberly Smith enrolled in Medicare?

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

What insurance does Kimberly Smith accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Kimberly Smith 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 Kimberly Smith was last updated on January 26, 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.