Kirkland Dental Corp PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62179 Issued in CA

Legal business name

KIRKLAND DENTAL CORP PC

Practice address

3943 Grand Ave
Chino, CA 91710-5440

Phone

(909) 843-9144

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Travis Z Kirkland

Title

President

Phone

(775) 738-9666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1962849976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015092",
            "telephone_number": "775-738-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 GRAND AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105440",
            "telephone_number": "909-843-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND DENTAL CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-738-9666"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Yeon Kim, DDS
• Kind Care Connections, LLC
• Mikayla King, DC
• Steven Kirby, DDS
• Ely Jane Kirkendall
• Lauren Alicia Klosowski
• Natalie Klostriech, FNP
• David Knox, BCFNC
• Lorrain Ko, DPT
• Yeun Ko, D.C.

• General Practice Dentistry in Chino, CA
• Providers in Chino, 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 May 30, 2013; 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.