Kirby E. Poling, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30019812 Issued in OH

Legal business name

KIRBY E. POLING, DDS

Practice address

6501 E Livingston Ave
Reynoldsburg, OH 43068-3561

Phone

(614) 755-4224

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kirby E Poling II, DDS

Title

Owner

Phone

(614) 755-4224

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255400826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683561",
            "telephone_number": "614-755-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683561",
            "telephone_number": "614-755-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY E. POLING, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-755-4224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30019812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.