Active NPI
Heather Chelsey Brooke Kirk, RDH
- Dental Hygienist
- Round Rock, TX
National Provider Identifier
1619688959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 18960
- Practice address
- 2120 N Mays St Ste 430
Round Rock, TX 78664-2108 - Phone
- (877) 800-5722
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 18960 | TX | Primary |
Addresses
Primary practice location
2120 N Mays St Ste 430
Round Rock, TX 78664-2108
Mailing address
1605 Primrose TRL
Round Rock, TX 78664-2644
Phone (912) 659-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18960 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Interoperability endpoints
- heather.kirk.p1@direct.lscctx.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1619688959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 PRIMROSE TRL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642644",
"telephone_number": "912-659-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 N MAYS ST STE 430",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642108",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "HEATHER",
"middle_name": "CHELSEY BROOKE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "18960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.