Wayne R Kirkham, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

E7636 Issued in TX

Practice address

7777 Forest LN
Ste C506
Dallas, TX 75230-6845

Phone

(972) 566-7515

Fax

(972) 566-7067

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1740286152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE C506",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306845",
            "telephone_number": "972-566-7515",
            "fax_number": "972-566-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE C506",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306845",
            "telephone_number": "972-566-7515",
            "fax_number": "972-566-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "WAYNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E7636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BM60",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kirk, D.C.
• James Michael Kirk, CRNA
• James Robert Daniel Kirk, PA-C
• Lynne Anne Marcum Kirk, MD
• Sara Ann Kirkevold
• Conner Christian Kirkikis, DO
• Grace Elizabeth Kirkland
• Jacob Timothy Kirkland
• Kadi Leann Kirkland, MS CCC/SLP
• Jennifer Dawn Kirkpatrick Arnette, M.D.

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.