Individual provider Active NPI

Frank W. Kirby, D.D.S.

  • General Practice Dentistry
  • Zebulon, GA
National Provider Identifier
1346353919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009564 Issued in GA
Practice address
7233 US Highway 19
Zebulon, GA 30295
Phone
(770) 567-3551
Fax
(770) 567-3551
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009564 GA Primary

Addresses

Primary practice location

7233 US Highway 19
Zebulon, GA 30295

Mailing address

7233 US Highway 19
Zebulon, GA 30295
Phone (770) 567-3551

Other identifiers 1

IdentifierTypeStateIssuer
00247981AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113000632 GA Order and Referring Only - Family PracticePractitioner - Family Practice 3678875275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009564GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346353919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 US HIGHWAY 19",
            "city": "ZEBULON",
            "state": "GA",
            "postal_code": "30295",
            "telephone_number": "770-567-3551",
            "fax_number": "770-567-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 US HIGHWAY 19",
            "city": "ZEBULON",
            "state": "GA",
            "postal_code": "30295",
            "telephone_number": "770-567-3551",
            "fax_number": "770-567-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "FRANK",
        "middle_name": "W.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "009564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00247981A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, GA

Sources for this page

Verify at the official NPI Registry.