DR. LOUIS T KIRCOS (NPI# 1609101120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609101120 |
| Entity Type | Individual |
| Full Name | DR. LOUIS T KIRCOS |
| Credential | DDS, PHD |
| Practice Address |
666 3rd St Suite 222 San Rafael CA 94901-3356 |
| Practice Telephone | 4151559999 |
| Mailing Telephone | 4151559999 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
019021487 | IL | Dental Providers |
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
012129 | IL | Dental Providers |
| Street Address |
666 3RD ST SUITE 222 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350485 | Katya Archambault | Dentist | 9245 Regents Rd Unit M208, La Jolla, CA 92037-9266 | 2019-01-16 |
| 1528200045 | Judy Janette Hurt | Dentist | 2920 F St Ste B2, Bakersfield, CA 93301-1829 | 2009-03-30 |
| 1780833087 | Shaza Mardini | Dentist | 2745 Via Villaggio, Sacramento, CA 95864-3788 | 2008-09-11 |
| 1316151202 | Montgomery Radiographic Svs | Dentist | 720 N Tustin Ave Ste 204, Santa Ana, CA 92705-3606 | 2007-05-09 |
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 1679580575 | Stuart C. White | Dentist | 10833 Le Conte Ave. Chs 10-165, Los Angeles, CA 90095-1668 | 2006-08-02 |
| 1396195483 | Shikha Rathi- Raythatha | Dentist | 2110 Professional Dr, Suite 101, Roseville, CA 95661-3752 | 2016-06-20 |
| 1366575490 | Francis H. Chung, Dds, Inc | Dentist | 2460 Mission St, Suite #109, San Francisco, CA 94110-2430 | 2007-03-14 |
| 1356476865 | Regents of University of California | Dentist | 10833 Le Conte Ave, Chs 10 -165, Los Angeles, CA 90095-1668 | 2007-02-23 |
| 1538247754 | Sotirios Tetradis | Dentist | 10833 Le Conte Ave, Chs 10-165, Los Angeles, CA 90095-1668 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.