Individual provider Active NPI

Brian Kitchell

  • Dentist
  • Ashland, OR
National Provider Identifier
1316379365
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9928 Issued in OR
Practice address
277 5TH St
Ashland, OR 97520-2058
Phone
(541) 482-1744
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9928 OR Primary

Addresses

Primary practice location

277 5TH St
Ashland, OR 97520-2058

Mailing address

277 5TH St
Ashland, OR 97520-2058
Phone (541) 482-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723009466 OR Order and Referring Only - DentistPractitioner - Dentist 9032422712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9928ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Kitchell Dentist Past Accepting new patients
Dr. Daniel Dewey Jackson DDS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1316379365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 5TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202058",
            "telephone_number": "541-482-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 5TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202058",
            "telephone_number": "541-482-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHELL",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.