Organization Active NPI

Wayne R. Kirkham, M.D. & Associates

  • Specialist
  • Dallas, TX
National Provider Identifier
1841442233
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E7636 Issued in TX
Legal business name
WAYNE R. KIRKHAM, M.D. & ASSOCIATES
Practice address
7777 Forest LN
C-506
Dallas, TX 75230-2505
Phone
(972) 566-7515
Fax
(972) 566-7067
NPI assigned
Oct 16, 2008
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Wayne R. Kirkham, M.D.NPI 1740286152
Title
Health Care Provider
Phone
(972) 566-7515

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
Specialist 174400000X E7636 TX Primary

Addresses

Primary practice location

7777 Forest LN
C-506
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
C-506
Dallas, TX 75230-2505
Phone (972) 566-7515

Other identifiers 1

IdentifierTypeStateIssuer
BM60MedicaidTX

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste C506
Dallas, TX 75230
Phone (972) 566-7515

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1841442233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C-506",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "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": "C-506",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7515",
            "fax_number": "972-566-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE R. KIRKHAM, M.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "972-566-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.