Organization Active NPI

Kirkwood Family Practice, LLC

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1316383276
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35050689K Issued in OH
Legal business name
KIRKWOOD FAMILY PRACTICE, LLC
Practice address
2838 Linden Ave
Dayton, OH 45410-3049
Phone
(937) 252-9965
Fax
(937) 252-9927
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. David C Kirkwood, M.D.NPI 1932293115
Title
President
Phone
(937) 252-9965

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35050689K OH Primary

Addresses

Primary practice location

2838 Linden Ave
Dayton, OH 45410-3049

Mailing address

2838 Linden Ave
Dayton, OH 45410-3049
Phone (937) 252-9965

National Provider Directory

National Provider Directory

Locations

2838 Linden Ave
Dayton, OH 45410
Phone (937) 252-9965

Practitioners & affiliated clinicians

Practitioners 1

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": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1316383276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 LINDEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103049",
            "telephone_number": "937-252-9965",
            "fax_number": "937-252-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 LINDEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103049",
            "telephone_number": "937-252-9965",
            "fax_number": "937-252-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-252-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35050689K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.