Active NPI
Douglas Kirol, D.D.S.
- General Practice Dentistry
- Rock Hill, SC
National Provider Identifier
1245368950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3648
- Practice address
- 219 Oakland Ave.
Rock Hill, SC 29730 - Phone
- (803) 328-2411
- Fax
- (803) 328-5776
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3648 | SC | Primary |
Addresses
Primary practice location
219 Oakland Ave.
Rock Hill, SC 29730
Mailing address
219 Oakland Ave.
Rock Hill, SC 29730
Phone (803) 328-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX3648 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3648 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas L. Kirol, DDS, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Rock Hill, SC
- NPI 1750419370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245368950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 OAKLAND AVE.",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29730",
"telephone_number": "803-328-2411",
"fax_number": "803-328-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 OAKLAND AVE.",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29730",
"telephone_number": "803-328-2411",
"fax_number": "803-328-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIROL",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX3648",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.