David Kirk, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19991 Issued in MA

Practice address

57 Codjer LN
Sudbury, MA 01776-2302

Phone

(978) 443-4348

Fax

(978) 443-4355

NPI assigned

Jun 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 MA

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

State licenses

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.

• Kirk Dental Associates

  • General Practice Dentistry
  • Sudbury, MA
  • NPI 1548257751
  Authorized official Same address or phone

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063617090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CODJER LN",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762302",
            "telephone_number": "978-443-4348",
            "fax_number": "978-443-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CODJER LN",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762302",
            "telephone_number": "978-443-4348",
            "fax_number": "978-443-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Koo Kim, DMD
• Joosook Kim
• Kayleigh Kinnelly
• Kirk Dental Associates
• Ann Bergstresser Kirk, D.D.S
• James Kirk, D.M.D
• Allison Kobielski, OTR/L
• Michael Anastasios Kramer, DDS
• Jay Barry Krasner, MD
• Kratis LLC (Kratis Care)

• General Practice Dentistry in Sudbury, MA
• Providers in Sudbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.