CMS-1500 Box 24J / 33a • NPI
1245526870
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223G0001X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
1115 WEBER ST, FRANKLIN, LA, 70538-4124
✓ 9-Digit EDI 837 ZIP+4 (70538-4124)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245526870 (KIMBERLY SMITH BIBBINS, D.D.S.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245526870 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KIMBERLY SMITH BIBBINS, D.D.S. |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223G0001X (Dentist, General Practice) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 1115 WEBER ST, FRANKLIN, LA, 70538-4124 |
| Practice Telephone / Fax | Tel: (337) 828-2550 | Fax: (337) 828-2550 |
| Administrative Mailing Address | 1115 WEBER ST, FRANKLIN, LA, 70538-4124 |
| Enumeration & Last Sync | Enumerated: 2011-06-22 | CMS Record Updated: 2019-02-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1223G0001X)
What Does Taxonomy Code 1223G0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223G0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KIMBERLY SMITH BIBBINS, D.D.S.)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: TN | License: 9458 | Primary: Secondary |
1223D0001X — Dentist, Dental Public HealthPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: TX | License: 28757 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: LA | License: S-711 | Primary: Secondary |
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: LA | License: 6413 | Primary: Yes (Primary) |
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: TX | License: 28757 | Primary: Secondary |
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