Jeffrey C. Kirian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.022375 Issued in OH

Practice address

740 N 21St St
Newark, OH 43055-2916

Phone

(740) 366-1236

Fax

(740) 348-0043

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Dentist of Thornville, LLC

  • General Practice Dentistry
  • Thornville, OH
  • NPI 1598336588
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1053530790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552916",
            "telephone_number": "740-366-1236",
            "fax_number": "740-348-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552916",
            "telephone_number": "740-366-1236",
            "fax_number": "740-348-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRIAN",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022375",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian King
• Malonna Kinnan, COTA/L
• Mildred Elaine Kinnard, CNP
• Mary Elizabeth Kinney, RN
• Emily Kiourtsis, PSY.D.
• Deanna Lynn Kirkendall
• Charlotte Kiser
• Karen Kitchen
• Ocean Klein
• Melissa Knapp, DPT

• Dentist in Newark, OH
• Providers in Newark, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.