Eric Daniel Kirk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34508 Issued in CA

Practice address

1505 Shepard Dr
Suite 202
Santa Maria, CA 93454-7020

Phone

(805) 925-1425

Fax

(805) 925-6625

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eric Daniel Kirk Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Edward Nam Dental Corporation

  • Dental Clinic/Center
  • Santa Maria, CA
  • NPI 1013610732
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154499838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR",
            "address_2": "SUITE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547020",
            "telephone_number": "805-925-1425",
            "fax_number": "805-925-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR",
            "address_2": "SUITE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547020",
            "telephone_number": "805-925-1425",
            "fax_number": "805-925-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ERIC",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "KIRK",
            "middle_name": "DANIEL",
            "prefix": "DR.",
            "credential": "D.D.S., INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kindredcare Therapeutics, LLC
• Brandon King, MD
• Gabriel King, PT
• Hilde O King, RN BS
• Theresa Marie Kings
• Karinne Kirkendoll I
• Kishor D Popat, MD, a Professional Corp.
• Jackline Kissi
• Brian Kistler, M.D.
• Monica Kistler, WHNP, DNP

• General Practice Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.