Joe Kent Kirby Jr., DDS
Individual provider Active NPI Dentist · King City, CA
NPI 1285077495 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1285077495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 35131 (CA)
- Practice address
- 550 Canal St Ste a
King City, CA 93930-3455 - Phone
- (805) 928-6776
- Fax
- (805) 928-6788
- NPI assigned
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35131 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamlet Karapetian DMD Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35131 | CA | Yes |
Addresses
Primary practice location
550 Canal St Ste a
King City, CA 93930-3455
Mailing address
1187 Coast Village Rd # 1103
Montecito, CA 93108-2737
Phone (805) 928-6776
Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.