Active NPI
David S Kirn, M.D.
- Plastic Surgery Physician
- Lexington, KY
National Provider Identifier
1659484681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 29775
- Practice address
- 2376 Alexandria Dr
Lexington, KY 40504-3229 - Phone
- (859) 296-3195
- Fax
- (859) 296-0397
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 29775 | KY | Primary |
Addresses
Primary practice location
2376 Alexandria Dr
Lexington, KY 40504-3229
Mailing address
2376 Alexandria Dr
Lexington, KY 40504-3229
Phone (859) 296-3195
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64297757 | Medicaid | KY | |
| 000000049734 | Other | KY | ANTHEM BCBS PROV NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 13, 2015 through Nov 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29775 | KY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David S. Kirn, M.D., P.L.L.C. | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Lexington, KY
- NPI 1447532080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1659484681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 ALEXANDRIA DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043229",
"telephone_number": "859-296-3195",
"fax_number": "859-296-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 ALEXANDRIA DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043229",
"telephone_number": "859-296-3195",
"fax_number": "859-296-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRN",
"first_name": "DAVID",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "KY",
"license": "29775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64297757",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PROV NUMBER",
"identifier": "000000049734",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.