Christopher T. Kirkup, DDS, MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12010847A Issued in IN

Practice address

12036 N Michigan Rd Ste 200
Zionsville, IN 46077-8782

Phone

(317) 733-0926

Fax

(317) 733-0950

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

Virginia Commonwealth Univ School of Dentistry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Oral and Maxillofacial Surgery Associates PCGroup PAC ID 9335157254, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana Oral & Maxillofacial Surgery Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fishers, IN
  • NPI 1407809585

  IN, Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1497787220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD",
            "address_2": "SUITE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382637",
            "telephone_number": "317-913-2363",
            "fax_number": "317-913-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12036 N MICHIGAN RD STE 200",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778782",
            "telephone_number": "317-733-0926",
            "fax_number": "317-733-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3021 E 98th St",
            "address_2": "Ste. 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462802938",
            "country_code": "US",
            "telephone_number": "317-846-3446",
            "fax_number": "317-574-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKUP",
        "first_name": "CHRISTOPHER",
        "middle_name": "T.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis King
• Janet Q King, PT
• Katerina Danielle King
• Zoe Kirages
• Laurie Ann Kirkpatrick, LMHC
• Colin Kline
• Adriana Koch
• Koda Therapy LLC
• James J. Kramer, O.D.
• Matthew Kremer, DPT

• All providers in Zionsville, IN
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.