Active NPI
Kira Gentle Barron, DMD
- Student in an Organized Health Care Education/Training Program
- Point Reyes Station, CA
National Provider Identifier
1356801666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 65 Third St. Suite 13
Point Reyes Station, CA 94956 - Phone
- (415) 787-1123
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS104879 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
65 Third St. Suite 13
Point Reyes Station, CA 94956
Mailing address
629 Washington St
San Jose, CA 95112-1756
Phone (719) 331-0780
Other practice location 1
55 E Julian St
San Jose, CA 95112-4007
Phone (408) 457-7100
Other names 1
- Dr. Kira Gentle Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104879 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Health Alliance | Past | Accepting new patients |
Interoperability endpoints
- kbarron614083@direct.ochin.org
- kbarron578451@direct.ochin.org
- kbarron582691@direct.ochin.org
- kira.barron.p1@direct.gardnerfamily.nextgenshare.com
Organizations & group practices 1
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.
-
dba Point Reyes Medical Clinic
- Dental Clinic/Center
- Point Reyes Station, CA
- NPI 1083179360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1356801666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 WASHINGTON ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121756",
"telephone_number": "719-331-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 THIRD ST. SUITE 13",
"city": "POINT REYES STATION",
"state": "CA",
"postal_code": "94956",
"telephone_number": "415-787-1123"
}
],
"practiceLocations": [
{
"address_1": "55 E Julian St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951124007",
"country_code": "US",
"telephone_number": "408-457-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRON",
"first_name": "KIRA",
"middle_name": "GENTLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS104879",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRA",
"last_name": "NELSON",
"middle_name": "GENTLE",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Point Reyes Station, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.