NPIMap

Individual provider Active NPI

Brian T. Kirkland, DMD

  • General Practice Dentistry
  • Orangeburg, SC
National Provider Identifier
1427619154
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9400 Issued in SC
Practice address
1380 Park St
Orangeburg, SC 29115-4880
Phone
(803) 536-9300
NPI assigned
Jun 24, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 9400 SC Primary

Addresses

Primary practice location

1380 Park St
Orangeburg, SC 29115-4880

Mailing address

1975 Middleton St
Orangeburg, SC 29115-4695
Phone (610) 806-3068

Other practice location 1

735 Harry C. Raysor Dr.
St. Matthews, SC 29135
Phone (803) 874-2243

Other practice location 2

5576 Carolina Hwy
Denmark, SC 29042-2238
Phone (803) 793-3365

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David R. Hutto DMD Past Accepting new patients
Earl B Hartzog DMD PA General Practice Past Accepting new patients
Earl B Hartzog DMD PA General Practice Past Accepting new patients
Earl B Hartzog DMD PA General Practice Past Accepting new patients
Lake Dentistry LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1427619154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIDDLETON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154695",
            "telephone_number": "610-806-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PARK ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154880",
            "telephone_number": "803-536-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Harry C. Raysor Dr.",
            "address_purpose": "LOCATION",
            "city": "St. Matthews",
            "state": "SC",
            "postal_code": "29135",
            "country_code": "US",
            "telephone_number": "803-874-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5576 Carolina Hwy",
            "address_purpose": "LOCATION",
            "city": "Denmark",
            "state": "SC",
            "postal_code": "290422238",
            "country_code": "US",
            "telephone_number": "803-793-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "BRIAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.