Organization Active NPI

Randall P. Kirby, MD PA

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1699934018
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H5716 Issued in TX
Legal business name
RANDALL P. KIRBY, MD PA
Practice address
8220 Walnut Hill LN
Suite 616
Dallas, TX 75231-4427
Phone
(214) 345-5660
Fax
(214) 345-5680
NPI assigned
Jun 2, 2008
Last updated
Nov 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Dr. Randall Parker Kirby, MD
Title
President
Phone
(214) 345-5660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H5716 TX Primary
Vascular Surgery Physician 2086S0129X H5716 TX

Addresses

Primary practice location

8220 Walnut Hill LN
Suite 616
Dallas, TX 75231-4427

Mailing address

PO Box 650759
Dallas, TX 75265-0759
Phone (214) 345-5660

Other identifiers 1

IdentifierTypeStateIssuer
132099607MedicaidTX

National Provider Directory

National Provider Directory

Locations

8220 Walnut Hill Ln
Ste 616
Dallas, TX 75231
Phone (214) 345-5262

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1699934018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650759",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650759",
            "telephone_number": "214-345-5660",
            "fax_number": "214-345-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 616",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-345-5660",
            "fax_number": "214-345-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL P. KIRBY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-345-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H5716",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "H5716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132099607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.