Individual provider Active NPI

George B. Kirby, D.D.S.

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1669755518
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13513 Issued in OH
Practice address
1110 Euclid Ave
Suite 202
Cleveland, OH 44115-1623
Phone
(216) 696-1441
Fax
(216) 696-6667
NPI assigned
Sep 27, 2011
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13513 OH Primary

Addresses

Primary practice location

1110 Euclid Ave
Suite 202
Cleveland, OH 44115-1623

Mailing address

1110 Euclid Ave
Suite 202
Cleveland, OH 44115-1623
Phone (216) 696-1441

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13513OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gang Anthony Lu, D.M.D., Inc PastSince Jul 4, 2021 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, 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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1669755518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 EUCLID AVE",
            "address_2": "SUITE 202",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151623",
            "telephone_number": "216-696-1441",
            "fax_number": "216-696-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EUCLID AVE",
            "address_2": "SUITE 202",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151623",
            "telephone_number": "216-696-1441",
            "fax_number": "216-696-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "GEORGE",
        "middle_name": "B.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.