DR. BLAIR ANDREW KIRK (NPI# 1861524118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861524118 |
| Entity Type | Individual |
| Full Name | DR. BLAIR ANDREW KIRK |
| Credential | DDS, MS |
| Practice Address |
3835 Cypress Dr Suite 208 Petaluma CA 94954-6965 |
| Practice Telephone | 7077628047 |
| Practice Fax Number | 7077625439 |
| Mailing Telephone | 7077628047 |
| Mailing Fax Number | 7077625439 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
40364 | CA | Dental Providers |
| Street Address |
3835 CYPRESS DR SUITE 208 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-6965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023043494 | Lana Ngoc Nguyen | Family Medicine | 3835 Cypress Dr, Suite 102, Petaluma, CA 94954-6965 | 2006-07-12 |
| 1710456223 | Alexandra Maria Richardson | Occupational Therapist | 3835 Cypress Dr, Petaluma, CA 94954-6965 | 2018-11-14 |
| 1538406897 | United Cerebral Palsy of The North Bay | Day Training, Developmentally Disabled Services | 3835 Cypress Dr, Suite 103, Petaluma, CA 94954-6965 | 2013-01-07 |
| 1093859969 | Martin Richard Steigner | Dentist | 3835 Cypress Dr, Suite 210, Petaluma, CA 94954-6965 | 2007-02-16 |
| 1588704696 | Raymond Anthony Ramos | Dentist | 3835 Cypress Dr, Suite 210, Petaluma, CA 94954-6965 | 2007-02-07 |
| 1134273592 | Mark Roper | Dentist | 3835 Cypress Dr, Suite 203, Petaluma, CA 94954-6965 | 2007-01-23 |
| 1700800604 | Michael I Bozuk | Surgery | 3835 Cypress Dr, Ste 202, Petaluma, CA 94954-6965 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177616 | Amir Hosseini Dental Corporation | Dentist | 26 4th St Ste C, Petaluma, CA 94952-3477 | 2020-06-03 |
| 1629195102 | Claudia Karkia | Dentist | 30 W El Rose Dr, Petaluma, CA 94952-7525 | 2007-03-22 |
| 1568638633 | Drs. Woo and Deberardinis | Dentist | 1476 Professional Dr, Suite 506, Petaluma, CA 94954-1500 | 2008-05-07 |
| 1487783775 | John Samuel Woo | Dentist | 1476 Professional Dr, Suite 506, Petaluma, CA 94954-1500 | 2007-03-05 |
| 1245369826 | Marc Callen Deberardinis | Dentist | 1476 Professional Dr, Suite 506, Petaluma, CA 94954-1500 | 2007-03-02 |
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| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.