Individual provider Active NPI

Robert Owen Kirk, D.D.S.

  • General Practice Dentistry
  • South Easton, MA
National Provider Identifier
1063442820
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10305 Issued in MA
Practice address
702 Washington St
206
South Easton, MA 02375-1194
Phone
(508) 238-4344
NPI assigned
Jul 4, 2006
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10305 MA Primary

Addresses

Primary practice location

702 Washington St
206
South Easton, MA 02375-1194

Mailing address

702 Washington St
P.O. Box 206
South Easton, MA 02375-1194
Phone (508) 238-4344

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

State licenses

LicenseStateTypeSpecialty
10305MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert O Kirk DDS PC CurrentSince Mar 27, 2022 Accepting new patients

Locations

702 Washington St
South Easton, MA 02375
Phone (508) 238-4344

702 Washington St
#206
South Easton, MA 02375
Phone (508) 238-4344

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1063442820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 WASHINGTON ST",
            "address_2": "P.O. BOX 206",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751194",
            "telephone_number": "508-238-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 WASHINGTON ST",
            "address_2": "206",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751194",
            "telephone_number": "508-238-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ROBERT",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.