Active NPI
James Frederick Kirk, M.D.
- Foot & Ankle Surgery Podiatrist
- Concord, NC
National Provider Identifier
1689647596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 318
- Practice address
- 889 Bradley St
Concord, NC 28025-2979 - Phone
- (704) 786-4482
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 318 | NC | Primary |
Addresses
Primary practice location
889 Bradley St
Concord, NC 28025-2979
Mailing address
809 Mitchell Ave
Lexington, NC 27292-2856
Phone (336) 236-2021
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17585 | Other | NC | PARTNER'S |
| 890809J | Medicaid | NC | |
| 0546620001 | Other | NC | PALMETTO |
| 0804449 | Other | NC | AETNA |
| 2740943 | Other | NC | UNITED HEALTHCARE |
| 269695 | Other | NC | MAMSI |
| 95137 | Other | NC | MEDCOST |
| 012C2 | Other | NC | BLUE CROSS BLUE SHIELD N |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689647596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 MITCHELL AVE",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272922856",
"telephone_number": "336-236-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 BRADLEY ST",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252979",
"telephone_number": "704-786-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "JAMES",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNER'S",
"identifier": "17585",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890809J",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "0546620001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0804449",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2740943",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "269695",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "95137",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD N",
"identifier": "012C2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- 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.