Michael Dietrich Kirk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011112 Issued in CT

Practice address

1173 Whipple St
Nhcne Newport Dental Clinic
Newport, RI 02841-1632

Phone

(401) 841-2541

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1861819559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ANNANDALE RD APT 4",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403682",
            "telephone_number": "219-508-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 WHIPPLE ST",
            "address_2": "NHCNE NEWPORT DENTAL CLINIC",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411632",
            "telephone_number": "401-841-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MICHAEL",
        "middle_name": "DIETRICH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011112",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kilzi, DPT
• Jee Hyun Kim, DO
• Angelique Kimble, PTA
• Sara Bates King, CNM, FNP
• Shannon Kinsella, LMHC
• Bridget Kist
• Jason Ray Kizzee, ATC
• David Patrick Klapatch, LMHC
• Farrel Ivan Klein, M.D.
• Deborah Knapman, LICSW

• General Practice Dentistry in Newport, RI
• Providers in Newport, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.