Individual provider Active NPI

James David Kirby, D.D.S

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1508017559
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS8899 Issued in TN
Practice address
231A W Old Hickory Blvd
Madison, TN 37115-3664
Phone
(615) 865-5750
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 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 DS8899 TN Primary

Addresses

Primary practice location

231A W Old Hickory Blvd
Madison, TN 37115-3664

Mailing address

3000 Hillsboro Pike
Apt 146
Nashville, TN 37215-1307
Phone (615) 478-4921

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
I20150728005856 CA Order and Referring Only - DentistPractitioner - Dentist 8325352842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS8899TNMDGeneral Practice Dentistry
8899TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
J Michael Law DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1508017559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HILLSBORO PIKE",
            "address_2": "APT 146",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372151307",
            "telephone_number": "615-478-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231A W OLD HICKORY BLVD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153664",
            "telephone_number": "615-865-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.