NPIMap

Organization Active NPI

Kirk Dental Associates

  • General Practice Dentistry
  • Sudbury, MA
National Provider Identifier
1548257751
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIRK DENTAL ASSOCIATES
Practice address
57 Codjer LN
Sudbury, MA 01776
Phone
(978) 443-4348
Fax
(978) 443-4355
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Dr. David Quentin Kirk Jr., DDS
Title
Owner/Dentist
Phone
(978) 443-4348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

57 Codjer LN
Sudbury, MA 01776

Mailing address

57 Codjer LN
Sudbury, MA 01776
Phone (978) 443-4348

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1548257751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CODJER LN",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-4348",
            "fax_number": "978-443-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CODJER LN",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-4348",
            "fax_number": "978-443-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "978-443-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.