Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kimberly Diane Bacon

Dental Assistant in Buena Park, CA · enumerated 2009 · practices at Manavi Dental Corporation.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487891065

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Kimberly Diane Bacon

Sex Female

Practice address 8381 La Palma Ave, Suite B & C, Buena Park, CA, 90620

Phone (714) 228-9990

Fax (714) 228-9741

Enumeration date Jan 19, 2009

Last updated in NPPES Jan 19, 2009

Taxonomy & licenses

126800000X Dental Assistant Dental Providers · License 54253991003342 (CA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kimberly Bacon?

Kimberly Bacon is registered in NPPES with the primary taxonomy of Dental Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-19.