Organization Active NPI

Robert B Kirton, DPM Inc

  • Podiatrist
  • Ruston, LA
National Provider Identifier
1184692436
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD162R Issued in LA
Legal business name
ROBERT B KIRTON, DPM INC
Practice address
105 E Reynolds Dr
Ruston, LA 71270-2804
Phone
(318) 255-3234
Fax
(318) 251-9783
NPI assigned
Mar 11, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Robert KirtonNPI 1083893267
Title
President
Phone
(318) 255-3234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD162R LA Primary

Addresses

Primary practice location

105 E Reynolds Dr
Ruston, LA 71270-2804

Mailing address

105 E Reynolds Dr
D
Ruston, LA 71270-2804

Other identifiers 1

IdentifierTypeStateIssuer
1657212MedicaidLA

National Provider Directory

National Provider Directory

Locations

105 E Reynolds Dr
Ruston, LA 71270
Phone (318) 255-3234

105 E Reynolds Dr
Ste D
Ruston, LA 71270
Phone (318) 255-3234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1184692436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E REYNOLDS DR",
            "address_2": "D",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702804",
            "telephone_number": "318-255-3234",
            "fax_number": "318-251-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B KIRTON, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-255-3234"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD162R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1657212",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.