Organization Active NPI

Kenneth a. Kirk DDS Inc

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1184777369
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13905 Issued in TX
Legal business name
KENNETH A. KIRK DDS INC
Practice address
20423 Kuykendahl Rd Ste 200
Spring, TX 77379-3492
Phone
(281) 580-8848
Fax
(281) 580-8874
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Kenneth Allen Kirk, D.D.S.
Title
President
Phone
(713) 862-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13905 TX Primary

Addresses

Primary practice location

20423 Kuykendahl Rd Ste 200
Spring, TX 77379-3492

Mailing address

300 Knox St
Houston, TX 77007-7141
Phone (713) 862-7227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1184777369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KNOX ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077141",
            "telephone_number": "713-862-7227",
            "fax_number": "281-580-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20423 KUYKENDAHL RD STE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793492",
            "telephone_number": "281-580-8848",
            "fax_number": "281-580-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. KIRK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-862-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.