Jeffrey Scott Van Kirk, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9848 Issued in OR

Practice address

1390 Alpine Lakes St SE
Salem, OR 97317-6976

Phone

(216) 394-3140

NPI assigned

May 26, 2009

Last updated

Jan 6, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeff Van Kirk, DMD, PC

  • General Practice Dentistry
  • Stayton, OR
  • NPI 1124440417
  NPD (past)

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1114152774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 ALPINE LAKES ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176976",
            "telephone_number": "216-394-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 ALPINE LAKES ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176976",
            "telephone_number": "216-394-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KIRK",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valora Group Homes LLC
• Erin Jo Van Der Veen, MA, LPC
• Ann Van Dreal, PSS
• Roberta Helen Van Dyke, WHCNP
• Kristopher Van Huss
• Camilla Lynn Van Leuven, LMT
• Stephanie Van Orden, PSYD
• Julie Lynne Miller Van Otterloo, RPH
• Dylan Van Rooyen
• Nathen Tyler Van Slochteren, B.S.

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.