Kirk A Specht

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

33997 Issued in CA

Practice address

1311 S Miller St Ste 201
Santa Maria, CA 93454-6900

Phone

(805) 347-4444

Fax

(805) 347-4446

NPI assigned

May 10, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1962616524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 LAURIE WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205753",
            "telephone_number": "805-610-0872",
            "fax_number": "805-347-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MILLER ST STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546900",
            "telephone_number": "805-347-4444",
            "fax_number": "805-347-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECHT",
        "first_name": "KIRK",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "33997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anna Southard, DO
• Frank R Souza
• SP Medical Consultants, Inc.
• Matthew Remington Spankowski
• Melissa Rose Sparshott, NP
• Evelyn Yee Spector, RN
• Chris Spence
• Katy Spencer
• Spine and Pain Treatment Medical Center of Santa Maria Inc
• Jeffrey Edward Spoo, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.