Individual provider Active NPI

Karen C Kirby, D.D.S.

  • Dentist
  • Lorain, OH
National Provider Identifier
1609929777
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30020443 Issued in OH
Practice address
1800 Livingston Ave
Lorain, OH 44052-3781
Phone
(440) 233-0100
Fax
(440) 233-2400
NPI assigned
Jan 19, 2007
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30020443 OH Primary

Addresses

Primary practice location

1800 Livingston Ave
Lorain, OH 44052-3781

Mailing address

13301 Miles Ave
Cleveland, OH 44105-5521
Phone (216) 751-3100

Other identifiers 1

IdentifierTypeStateIssuer
2481158MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040826001468 OH Practitioner - Oral Surgery 2062487796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30020443OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Jan 30, 2017 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Jan 30, 2017 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients

Locations

13301 Miles Ave
Cleveland, OH 44105
Phone (216) 751-3100

15322 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 491-2318

4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700

8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: karen.kirby.p11@direct.loraincountyhealth.nextgenshare.com
  • Direct secure messaging: karen.kirbydds.p1@direct.neon.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1609929777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 MILES AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441055521",
            "telephone_number": "216-751-3100",
            "fax_number": "216-231-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LIVINGSTON AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523781",
            "telephone_number": "440-233-0100",
            "fax_number": "440-233-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KAREN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30020443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2481158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.