Active NPI
The Dentist-Jeffrey C Kirian DDS LLC
- Dentist
- Newark, OH
National Provider Identifier
1336391077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30022375
- Legal business name
- THE DENTIST-JEFFREY C KIRIAN DDS LLC
- Practice address
- 1175 Mount Vernon Rd
Newark, OH 43055-3034 - Phone
- (740) 366-1236
- Fax
- (740) 364-1972
- NPI assigned
- Oct 14, 2008
- Last updated
- Oct 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Kirian
- Title
- Owner
- Phone
- (740) 366-1236
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30022375 | OH | Primary |
Addresses
Primary practice location
1175 Mount Vernon Rd
Newark, OH 43055-3034
Mailing address
1175 Mount Vernon Rd
Newark, OH 43055-3034
Phone (740) 366-1236
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Newark, OH
- NPI 1053530790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223942400000",
"number": "1336391077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 MOUNT VERNON RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430553034",
"telephone_number": "740-366-1236",
"fax_number": "740-364-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 MOUNT VERNON RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430553034",
"telephone_number": "740-366-1236",
"fax_number": "740-364-1972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DENTIST-JEFFREY C KIRIAN DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-14",
"last_updated": "2008-10-14",
"status": "A",
"authorized_official_last_name": "KIRIAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-366-1236"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30022375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.