Organization Active NPI

Kirby Dermatology, a Medical Corporation

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1144363201
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A8225 Issued in CA
Legal business name
KIRBY DERMATOLOGY, A MEDICAL CORPORATION
Practice address
8500 Wilshire Blvd
Ste 105
Beverly Hills, CA 90211-3121
Phone
(424) 239-2746
Fax
(310) 861-8221
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
William T. Kirby, DO
Title
Owner
Phone
(424) 239-2746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 20A8225 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd
Ste 105
Beverly Hills, CA 90211-3121

Mailing address

8500 Wilshire Blvd
Ste 105
Beverly Hills, CA 90211-3121
Phone (424) 239-2746

Other names 1

  • William T. Kirby, D.o. Other name

National Provider Directory

National Provider Directory

Locations

17609 Ventura Blvd
Ste 201
Encino, CA 91316
Phone (424) 239-2746

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1144363201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "STE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "424-239-2746",
            "fax_number": "310-861-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "STE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "424-239-2746",
            "fax_number": "310-861-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY DERMATOLOGY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-239-2746",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A8225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William T. Kirby, D.o.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.