Individual provider Active NPI

Janus Kirr, L.M.T

  • Specialist
  • Cambridge, MA
National Provider Identifier
1447584271
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2718 Issued in MA
Practice address
2557 Mass Ave
Cambridge, MA 02140-1020
Phone
(617) 492-0208
NPI assigned
Sep 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 2718 MA
Specialist 174400000X 2718 MA Primary

Addresses

Primary practice location

2557 Mass Ave
Cambridge, MA 02140-1020

Mailing address

58 Sargent St
Melrose, MA 02176-1251
Phone (781) 941-0823

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

LicenseStateTypeSpecialty
2718MAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1447584271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SARGENT ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021761251",
            "telephone_number": "781-941-0823",
            "fax_number": "781-662-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MASS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401020",
            "telephone_number": "617-492-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRR",
        "first_name": "JANUS",
        "name_prefix": "Mr.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-27",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "MA",
            "license": "2718",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.