Organization Active NPI

Kirk E Houston DMD PA

  • Prosthodontics
  • Lyman, SC
National Provider Identifier
1255059283
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
KIRK E HOUSTON DMD PA
Practice address
12313 Greenville Hwy
Lyman, SC 29365-1515
Phone
(864) 439-3322
Fax
(864) 949-3953
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Kirk Edward Houston, DMDNPI 1831376029
Title
Ceo
Phone
(864) 439-3322

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

12313 Greenville Hwy
Lyman, SC 29365-1515

Mailing address

12313 Greenville Hwy
Lyman, SC 29365-1515
Phone (864) 439-3322

National Provider Directory

National Provider Directory
Tax ID family
Kirk E Houston DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12313 Greenville Hwy
Lyman, SC 29365
Phone (864) 439-3322

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": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1255059283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12313 GREENVILLE HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651515",
            "telephone_number": "864-439-3322",
            "fax_number": "864-949-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12313 GREENVILLE HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651515",
            "telephone_number": "864-439-3322",
            "fax_number": "864-949-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK E HOUSTON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-439-3322",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.