Organization Active NPI

James F. Kirk DPM,PA

  • Podiatrist
  • Concord, NC
National Provider Identifier
1477589513
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
318 Issued in NC
Legal business name
JAMES F. KIRK DPM,PA
Practice address
889 Bradley St
Concord, NC 28025-2979
Phone
(704) 786-4482
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
James Frederick Kirk, DPM
Title
President
Phone
(704) 786-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 318 NC Primary

Addresses

Primary practice location

889 Bradley St
Concord, NC 28025-2979

Mailing address

889 Bradley St
Concord, NC 28025-2979
Phone (704) 786-4482

Other identifiers 2

IdentifierTypeStateIssuer
1477589513OtherNCGROUP NPI NUMBER
0546620001OtherNCDMERC PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

889 Bradley St NE
Concord, NC 28025
Phone (704) 786-4482

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1477589513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 BRADLEY ST",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252979",
            "telephone_number": "704-786-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 BRADLEY ST",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252979",
            "telephone_number": "704-786-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. KIRK DPM,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-786-4482",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1477589513",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PROVIDER NUMBER",
            "identifier": "0546620001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.