NPIMap

Organization Active NPI

Joshua Kirk, DMD, PLLC

Doing business as Mountain View Dental Center

  • Dentist
  • Ellensburg, WA
National Provider Identifier
1265972939
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 60543842 Issued in WA
Legal business name
JOSHUA KIRK, DMD, PLLC
Doing business as
Mountain View Dental Center
Practice address
708 E Mountain View Ave
Ellensburg, WA 98926-3862
Phone
(509) 962-2755
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Dr. Joshua Kirk, D.M.D.NPI 1154761013
Title
Dentist
Phone
(509) 859-3632

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE 60543842 WA Primary

Addresses

Primary practice location

708 E Mountain View Ave
Ellensburg, WA 98926-3862

Mailing address

708 E Mountain View Ave
Ellensburg, WA 98926-3862
Phone (509) 962-2755

Other names 1

  • Mountain View Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

708 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-2755

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1265972939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263862",
            "telephone_number": "509-962-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263862",
            "telephone_number": "509-962-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA KIRK, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-859-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60543842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.