Carly Kirby, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1182 Issued in CO

Legal business name

CARLY KIRBY, INC.

Practice address

1551 Professional LN Unit 220
Longmont, CO 80501-6964

Phone

(303) 772-9660

Fax

(303) 772-9259

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carly Kirby, DIPL. OF OM, LAC.NPI 1265441885

Title

Owner

Phone

(720) 301-9705

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carly S Kirby, DIPL. O.M., LIC. AC.

  • Acupuncturist
  • Longmont, CO
  • NPI 1265441885
  Authorized official Same address or phone

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1578807889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 MONTGOMERY CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045209",
            "telephone_number": "720-301-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 220",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016964",
            "telephone_number": "303-772-9660",
            "fax_number": "303-772-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLY KIRBY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-301-9705",
        "authorized_official_credential": "DIPL. OF OM, LAC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1265441885",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carmel Community Living Corporation

• Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.