Active NPI
Wayne R. Kirkham, M.D. & Associates
- Specialist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E7636
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BM60 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Dallas, TX
- NPI 1740286152
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.