Active NPI
Jerrold M. Kirzner, D.D.S.
- Dentist
- Cincinnati, OH
National Provider Identifier
1770658080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13900
- Practice address
- 8072 Beechmont Ave
Cincinnati, OH 45255-3177 - Phone
- (513) 474-1700
- Fax
- (513) 474-5468
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13900 | OH | Primary |
Addresses
Primary practice location
8072 Beechmont Ave
Cincinnati, OH 45255-3177
Mailing address
8072 Beechmont Ave
Cincinnati, OH 45255-3177
Phone (513) 474-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13900 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1770658080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8072 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553177",
"telephone_number": "513-474-1700",
"fax_number": "513-474-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8072 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553177",
"telephone_number": "513-474-1700",
"fax_number": "513-474-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRZNER",
"first_name": "JERROLD",
"middle_name": "M.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "13900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.