Active NPI
Kirk W. Noraian, D.D.S., M.S., P.C.
- Periodontics
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- KIRK W. NORAIAN, D.D.S., M.S., P.C.
- Practice address
- 105 N Williamsburg Dr
Bloomington, IL 61704-3528 - Phone
- (309) 663-4577
- Fax
- (309) 663-2854
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kirk William Noraian, D.D.S.
- Title
- Owner
- Phone
- (309) 663-4577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | ||
| Periodontics | 1223P0300X | IL | Primary |
Addresses
Primary practice location
105 N Williamsburg Dr
Bloomington, IL 61704-3528
Mailing address
105 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone (309) 663-4577
National Provider Directory
National Provider Directory- Tax ID family
- Kirk W Noraian DDS Ms PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Periodontics
- Urbana, IL
- NPI 1467574368
Locations
105 N Williamsburg Dr
Bloomington, IL 61704
Phone (309) 663-4577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1710007836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N WILLIAMSBURG DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043528",
"telephone_number": "309-663-4577",
"fax_number": "309-663-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N WILLIAMSBURG DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043528",
"telephone_number": "309-663-4577",
"fax_number": "309-663-2854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRK W. NORAIAN, D.D.S., M.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "NORAIAN",
"authorized_official_first_name": "KIRK",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-663-4577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.