Chun Pang Tony Kir, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32335 Issued in CA

Practice address

814 Broadway
San Francisco, CA 94133-4219

Phone

(415) 392-0788

Fax

(415) 392-0818

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699823104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 BROADWAY STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334219",
            "telephone_number": "415-392-0788",
            "fax_number": "415-392-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 BROADWAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334219",
            "telephone_number": "415-392-0788",
            "fax_number": "415-392-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIR",
        "first_name": "CHUN PANG",
        "middle_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Rex Kipker, P.T.
• Princess Kipker
• Allan Kipperman, M.D.
• Stephanie Kipperman, LCSW
• Dobri D. Kiprov, MD., P.C.
• Ryan Kir, DDS
• Abigail Kira, AMFT
• Keri Dianne Kirby, B.A.
• Kristina Kirby, RN
• Lauren Noel Kirby

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.