C.L. Kirby, DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

16065 Issued in TX

Legal business name

C.L. KIRBY, DDS PLLC

Doing business as

Gladewater Family Dental

Practice address

406 W Upshur Ave
Gladewater, TX 75647-2124

Phone

(903) 845-2161

NPI assigned

Dec 16, 2015

Last updated

Dec 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris L Kirby, DDS

Title

Owner

Phone

(214) 384-2287

Specialties & licenses 1

Addresses

Other names 1

• Gladewater Family Dental Doing business as

Locations

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.

• Travis Wayne Horn, DDS

  • Dentist
  • Jefferson, TX
  • NPI 1518697366
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1730544834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W UPSHUR AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472124",
            "telephone_number": "903-845-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W UPSHUR AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472124",
            "telephone_number": "903-845-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.L. KIRBY, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-384-2287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladewater Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Bettis
• Bewell & Associates LLC
• Sheila R Brinkman, APRN, FNP-C
• Laura Ruth Brown, PHARMD
• Judy Lynn Broyles
• Tracy Casey, FNP
• Stacy Caron Christine, LVN
• Patrick Coffey
• Collect Memories at Home LLC
• Jordan Davis Corpier, RN

• Dentist in Gladewater, TX
• Providers in Gladewater, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.