Active NPI
Jonathan Martin Kirt
- Dental Hygienist
- Flint, MI
National Provider Identifier
1396022604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902015775
- Practice address
- 225 E 5TH St
Suite 300
Flint, MI 48502-1641 - Phone
- (810) 406-4246
- Fax
- (810) 424-6029
- NPI assigned
- Nov 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902015775 | MI | Primary |
Addresses
Primary practice location
225 E 5TH St
Suite 300
Flint, MI 48502-1641
Mailing address
G3375 S Saginaw St
Burton, MI 48529-1277
Phone (810) 743-6830
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 |
|---|---|---|---|
| 2902015775 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1396022604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3375 S SAGINAW ST",
"city": "BURTON",
"state": "MI",
"postal_code": "485291277",
"telephone_number": "810-743-6830",
"fax_number": "810-743-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E 5TH ST",
"address_2": "SUITE 300",
"city": "FLINT",
"state": "MI",
"postal_code": "485021641",
"telephone_number": "810-406-4246",
"fax_number": "810-424-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRT",
"first_name": "JONATHAN",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902015775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.