Bradley J Kirst DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

33604 Issued in CA

Legal business name

BRADLEY J KIRST DDS INC

Practice address

23838 Valencia Blvd
Suite 180
Santa Clarita, CA 91355

Phone

(661) 288-2088

Fax

(661) 288-2218

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Bradley J Kirst, DDSNPI 1346404878

Title

President

Phone

(661) 288-2088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley J Kirst, D.D.S

  • General Practice Dentistry
  • Valencia, CA
  • NPI 1346404878
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1407990286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 180",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-288-2088",
            "fax_number": "661-288-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 180",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-288-2088",
            "fax_number": "661-288-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J KIRST DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "KIRST",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-288-2088",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Renee Bouyer, M.A., L.M.F.T.
• Nicole Bovigny, PMHNP
• Corey Jacob William Bowers
• Spenser Bowers, MSC,ATC, CES
• Simone Brejae Bradford
• Ellen Bradley-Windell, L.C.S.W.
• Ritchell Braganza, NP
• Claudia Brandan-Hernandez
• Lindsay Ann Brasile, LMFT
• Brennan Hughes DMD a Professional Coorporation

• Dentist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Dentist in California

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

Verify at the official NPI Registry.