Kevin Patrick Kilroy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17041 Issued in MA

Practice address

654 Weetamoe St
Fall River, MA 02720-6124

Phone

(508) 673-2245

NPI assigned

Jun 10, 2006

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

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.

• Robert E. Pavao,D.D.S. & Kevin P. Kilroy,D.D.S.,P.C.

  • General Practice Dentistry
  • Fall River, MA
  • NPI 1396804498
  NPD (past) Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164464830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 WEETAMOE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206124",
            "telephone_number": "508-673-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 WEETAMOE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206124",
            "telephone_number": "508-673-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILROY",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ani Kiledjian
• Dorothy Wall Kiley
• Kenneth Richard Kiley Jr., M.S. R.PH
• Abigail Killeen
• Jennifer Townsend Killenberg, M.S.W.
• Nicholas S Kim, DMD MD
• Benjamin Joel Kimball, B.A.
• Kimwell Healthcare LLC (Kimwell)
• Kimwell Nursing SNF Operations BHC
• Kimwell Operating LLC

• General Practice Dentistry in Fall River, MA
• Providers in Fall River, 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.