John J Kirby, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19509 Issued in CA

Practice address

1531 5TH Ave
San Rafael, CA 94901-1806

Phone

(415) 456-6366

NPI assigned

Apr 17, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891910311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 5TH AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011806",
            "telephone_number": "415-456-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 5TH AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011806",
            "telephone_number": "415-456-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Wise King, IBCLC
• Morrakot King
• Debra Jean Kinninger, P.T.
• Maurice D. Kinsolving, MD
• Svetlana Kipnis
• Wendy Kirk-Scalise, MFT
• Gretchen W. Kishbaugh, PH.D.
• Lindsay Kittredge, PH.D.
• Lucy Ann Klein
• Michael Klein, PHD

• General Practice Dentistry in San Rafael, CA
• Providers in San Rafael, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.