Matthew Scott Kirkley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012538 Issued in GA

Practice address

2803 Wrightsboro Rd
Suite 25
Augusta, GA 30909-3913

Phone

(706) 733-0223

Fax

(706) 733-2370

NPI assigned

Oct 10, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194813030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 WRIGHTSBORO RD",
            "address_2": "SUITE 25",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093913",
            "telephone_number": "706-733-0223",
            "fax_number": "706-733-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 WRIGHTSBORO RD",
            "address_2": "SUITE 25",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093913",
            "telephone_number": "706-733-0223",
            "fax_number": "706-733-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLEY",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZG2538",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kirby, M.ED, ATC/L
• Courtney Kirk
• Brenda Mauldin Kirkland, RPH
• Seantell Kirkland, RBT
• Starlesha Kirkland, RBT
• Paul Daniel Kirkpatrick, MD
• Allison Lyn Kirschbaum
• Corley Rene' Kirschner, PT
• Robert Jeremy Kirschner, PT, DPT, ATC, CSCS
• Claire Hughs Kirspel, CCC/SLP

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.