Kirstin Ty McCarville, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2006013083 Issued in MO

Practice address

650 E 25TH St
Kansas City, MO 64108-2784

Phone

(816) 235-2160

Fax

(816) 235-2166

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679798144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4784 OAK ST APT 324",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122223",
            "telephone_number": "402-203-3593",
            "fax_number": "816-235-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 25TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082784",
            "telephone_number": "816-235-2160",
            "fax_number": "816-235-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARVILLE",
        "first_name": "KIRSTIN",
        "middle_name": "TY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006013083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Alice McCarthy, RN, MSN, CPNP-PC
• Mark Redmond McCarthy, LPC
• Lorna Adair McCartney, NP-C
• Michael Logan McCartney, MD
• Riley Marie McCarty, MD
• Leslie Paige McClaflin, DDS
• Elizabeth McClain, D.D.S.
• Rance McClain, D.O.
• Donna Joy McClanahan, RNC, PNP, MSN
• Valerie Klejch McClaran, CRNA

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.