NPIMap

Organization Active NPI

Kirby Joe Robinson of Texas, DDS,P.C.

  • Dentist
  • Granbury, TX
National Provider Identifier
1619159787
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0016454 Issued in TX
Legal business name
KIRBY JOE ROBINSON OF TEXAS, DDS,P.C.
Practice address
1151 E Hwy 377 Ste 101
Granbury, TX 76048-4009
Phone
(817) 578-3178
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Thomas John Kennedy, DDS
Title
Officer
Phone
(800) 658-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0016454 TX Primary

Addresses

Primary practice location

1151 E Hwy 377 Ste 101
Granbury, TX 76048-4009

Mailing address

1151 E Hwy 377 Ste 101
Granbury, TX 76048-4009
Phone (817) 578-3178

National Provider Directory

National Provider Directory
Tax ID family
Kirby Joe Robinson of Texas DDS PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1151 E US Highway 377
Ste 101
Granbury, TX 76048
Phone (469) 410-9312

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1619159787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E HWY 377 STE 101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484009",
            "telephone_number": "817-578-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E HWY 377 STE 101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484009",
            "telephone_number": "817-578-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY JOE ROBINSON OF TEXAS, DDS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "800-658-2177",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "0016454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.