Active NPI
Beverly Jane Kirker, RDH.BSN,AS
- Dental Hygienist
- Summersville, WV
National Provider Identifier
1043095458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2361
- Practice address
- 51 Frank McMillion Rd
Summersville, WV 26651-9465 - Phone
- (304) 619-9312
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2361 | WV | Primary |
Addresses
Primary practice location
51 Frank McMillion Rd
Summersville, WV 26651-9465
Mailing address
51 Frank McMillion Rd
Summersville, WV 26651-9465
Phone (304) 619-9312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Associate of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1043095458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 FRANK MCMILLION RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519465",
"telephone_number": "304-619-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 FRANK MCMILLION RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519465",
"telephone_number": "304-619-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKER",
"first_name": "BEVERLY",
"middle_name": "JANE",
"credential": "RDH.BSN,AS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WV",
"license": "2361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.