Organization Active NPI

Kirby & Vaca Dentistry Partnership

Doing business as Vaca & Kirby Dental Group

  • General Practice Dentistry
  • Longview, TX
National Provider Identifier
1710015623
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIRBY & VACA DENTISTRY PARTNERSHIP
Doing business as
Vaca & Kirby Dental Group
Practice address
3121 H G Moseley Pkwy
Longview, TX 75605-2942
Phone
(903) 663-0861
Fax
(903) 663-9148
NPI assigned
Mar 1, 2007
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Chris L Kirby, D.D.S.NPI 1033247911
Title
Owner Dentist
Phone
(903) 663-0861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3121 H G Moseley Pkwy
Longview, TX 75605-2942

Mailing address

3121 H G Moseley Pkwy
Longview, TX 75605-2942
Phone (903) 663-0861

Other names 1

  • Vaca & Kirby Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3121 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 663-0861

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1710015623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 H G MOSELEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052942",
            "telephone_number": "903-663-0861",
            "fax_number": "903-663-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 H G MOSELEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052942",
            "telephone_number": "903-663-0861",
            "fax_number": "903-663-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY & VACA DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "903-663-0861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaca & Kirby Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.