Organization Active NPI

Patricia a. Kirk DPM, PLLC

  • Podiatrist
  • Surprise, AZ
National Provider Identifier
1912294174
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0717 Issued in AZ
Legal business name
PATRICIA A. KIRK DPM, PLLC
Practice address
16682 N West Point Pkwy
Apt. 281
Surprise, AZ 85374-4033
Phone
(623) 229-8965
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Patricia A. Kirk, DPM
Title
Manager
Phone
(623) 229-8965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0717 AZ Primary

Addresses

Primary practice location

16682 N West Point Pkwy
Apt. 281
Surprise, AZ 85374-4033

Mailing address

16682 N West Point Pkwy
Apt. 281
Surprise, AZ 85374-4033
Phone (623) 229-8965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1912294174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16682 N WEST POINT PKWY",
            "address_2": "APT. 281",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744033",
            "telephone_number": "623-229-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16682 N WEST POINT PKWY",
            "address_2": "APT. 281",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744033",
            "telephone_number": "623-229-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A. KIRK DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-229-8965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.