John Marion Kirby, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9944 Issued in GA

Practice address

1190 Buckhead Xing
Suite E
Woodstock, GA 30189-4253

Phone

(770) 926-6719

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1013106558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BUCKHEAD XING",
            "address_2": "SUITE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894253",
            "telephone_number": "770-926-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BUCKHEAD XING",
            "address_2": "SUITE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894253",
            "telephone_number": "770-926-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JOHN",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A King, APRN
• Karen King, OTR/L
• Melissa C King, LPC
• Rosa Zavaleta King, PHARM. D.
• Susan R Kippenberger, BCBA
• Saleah Marie Kirkham-Walker, RPH
• Judith Ann Kirkman, MA/CCC/SLP
• Jillian L Kirschner, PHD
• Srilaxmi Andikot Kishor, MD
• Brittany Poist Kizzire, PT, DPT

• General Practice Dentistry in Woodstock, GA
• Providers in Woodstock, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.