Individual provider Active NPI

Ryan Kir, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1457528382
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56212 Issued in CA
Practice address
814 Broadway St
San Francisco, CA 94133-4219
Phone
(415) 392-0788
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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 56212 CA Primary

Addresses

Primary practice location

814 Broadway St
San Francisco, CA 94133-4219

Mailing address

814 Broadway St
San Francisco, CA 94133-4219
Phone (415) 392-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602001575 CA Order and Referring Only - DentistPractitioner - Dentist 0345530390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1457528382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 BROADWAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334219",
            "telephone_number": "415-392-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 BROADWAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334219",
            "telephone_number": "415-392-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIR",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.