Kirill Smirnoff, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

56607 Issued in CA

Practice address

959 Myrtle Ave
Eureka, CA 95501-1219

Phone

(707) 442-7078

NPI assigned

Nov 26, 2007

Sex

Male

Sole proprietor

No

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, last updated by the provider on Nov 26, 2007.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1699956151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST",
            "address_2": "SUITE 203",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216248",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011219",
            "telephone_number": "707-442-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRNOFF",
        "first_name": "KIRILL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70970F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Skotzko, MD
• Carrie Lee Slack, LCSW
• Katie Jo Slaughter
• Sliiip Medical Group of California PC
• Jessica Slusser
• Miesha Lavette Smith Marshall, LVN
• Charles William Smith-Sayer, LPT
• Megan Jennifer Smith-Zagone, MD
• Aleah Smith
• Amy Marie Smith, RN

• All providers in Eureka, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.