Leland Blane Kimball, DDS
NPI 1417039967ActiveIndividual· Dentist, Endodontics· Fort Leonard Wood, MO
Dentist, Endodontics (DDS) in Fort Leonard Wood, Missouri, licensed in CA, with an NPI issued in October 2006. Part D covered 46 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1417039967 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Oct 20, 2006 |
| Last updated in NPPES | Jun 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 55011 | CA |
| Dentist, General Practice | 1223G0001X | 55011 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 46 · 46 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $262.10 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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