Active NPI
Kirk Family Practice, LLC
- Family Medicine Physician
- Smyrna, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2006209061
- Legal business name
- KIRK FAMILY PRACTICE, LLC
- Practice address
- 100 South Main Street
Suite 200
Smyrna, DE 19977 - Phone
- (302) 653-6022
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah T. Kirk, M.D.
- Title
- President/Owner
- Phone
- (302) 653-6022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006209061 | DE | Primary |
Addresses
Primary practice location
100 South Main Street
Suite 200
Smyrna, DE 19977
Mailing address
100 S Main St Ste 205
Smyrna, DE 19977-1479
Phone (302) 653-6022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Kirk Family Practice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Smyrna, DE
- NPI 1548485931
Locations
100 S Main St
Ste 205
Smyrna, DE 19977
Phone (302) 653-6022
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Smyrna, DE
- NPI 1427069475
-
- Family Nurse Practitioner
- Dover, DE
- NPI 1568805604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1497838999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MAIN ST STE 205",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771479",
"telephone_number": "302-653-6022",
"fax_number": "302-389-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH MAIN STREET",
"address_2": "SUITE 200",
"city": "SMYRNA",
"state": "DE",
"postal_code": "19977",
"telephone_number": "302-653-6022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRK FAMILY PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "302-653-6022",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "DE",
"license": "2006209061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.