Active NPI
David Kent Vankirk, CCP
- Perfusionist
- Richland, WA
National Provider Identifier
1144465964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 920320
- Practice address
- 723 Hanford St
Richland, WA 99354-1681 - Phone
- (425) 213-4149
- NPI assigned
- Dec 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 920320 | MS | Primary |
Addresses
Primary practice location
723 Hanford St
Richland, WA 99354-1681
Mailing address
723 Hanford St
Richland, WA 99354-1681
Phone (425) 213-4149
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
| License | State | Type | Specialty |
|---|---|---|---|
| 920320 | MS | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1144465964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 HANFORD ST",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993541681",
"telephone_number": "425-213-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 HANFORD ST",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993541681",
"telephone_number": "425-213-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKIRK",
"first_name": "DAVID",
"middle_name": "KENT",
"name_prefix": "Mr.",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-08",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "MS",
"license": "920320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.