NPIMap

Organization Active NPI

Dr. Ken Cirka DMD

  • Dentist
  • Phila, PA
National Provider Identifier
1306981840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 030533L Issued in PA
Legal business name
DR. KEN CIRKA DMD
Practice address
1601 Walnut St
Ste 1302
Phila, PA 19102
Phone
(215) 568-6222
Fax
(215) 568-4343
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ken Cirka, DMD
Title
Owner Dentist
Phone
(215) 568-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS 030533L PA Primary

Addresses

Primary practice location

1601 Walnut St
Ste 1302
Phila, PA 19102

Mailing address

1601 Walnut St
Ste 1302
Phila, PA 19102
Phone (215) 568-6222

National Provider Directory

National Provider Directory

Locations

1601 Walnut St
Ste 1302
Philadelphia, PA 19102
Phone (215) 568-2222

Practitioners & affiliated clinicians

Practitioners 4

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306981840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "STE 1302",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-568-6222",
            "fax_number": "215-568-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "STE 1302",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-568-6222",
            "fax_number": "215-568-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEN CIRKA DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIRKA",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "215-568-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 030533L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • 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.