George Kirby, M.D, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901020465 Issued in MI

Practice address

601 Michigan Ave Ste 200
Holland, MI 49423

Phone

(616) 392-2329

Fax

(616) 392-9610

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 2, 2024 through Oct 2, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1770846834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 OAKRIDGE DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494238999",
            "telephone_number": "989-621-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MICHIGAN AVE STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49423",
            "telephone_number": "616-392-2329",
            "fax_number": "616-392-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12662 Riley St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248023",
            "country_code": "US",
            "telephone_number": "616-738-9900",
            "fax_number": "616-738-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 S Beechtree St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172384",
            "country_code": "US",
            "telephone_number": "616-844-5135",
            "fax_number": "616-844-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 44th St SW",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182349",
            "country_code": "US",
            "telephone_number": "616-530-4710",
            "fax_number": "616-842-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "GEORGE",
        "credential": "M.D, D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lee Kimball, RDH
• Alana Anne King
• Stephanie King, MA, LPC
• Kingsbury Chiropractic LC
• Craig Alan Kingsbury, D.C.
• Alysha Nicole Kirkwood, DO
• Jennifer Marie Kirkwood
• Marjalize Kirsten, PT
• Robert Michael Kiviniemi, R.PH.
• Elisabeth Klaasen

• Oral and Maxillofacial Surgery (Dentist) in Holland, MI
• Providers in Holland, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.