Active NPI
Kirk Walter Macgillivray, DDS
- Dentist
- Santa Fe, NM
National Provider Identifier
1871753343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD2255
- Practice address
- 1496 S Saint Francis Dr
Santa Fe, NM 87505-4038 - Phone
- (505) 982-9700
- Fax
- (505) 982-6465
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
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 | DD2255 | NM | Primary |
Addresses
Primary practice location
1496 S Saint Francis Dr
Santa Fe, NM 87505-4038
Mailing address
1496 S Saint Francis Dr
Santa Fe, NM 87505-4038
Phone (505) 982-9700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD2255 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1871753343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1496 S SAINT FRANCIS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054038",
"telephone_number": "505-982-9700",
"fax_number": "505-982-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1496 S SAINT FRANCIS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054038",
"telephone_number": "505-982-9700",
"fax_number": "505-982-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGILLIVRAY",
"first_name": "KIRK",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD2255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.