DR. KEVIN LUCAS KIRK DMD
NPI 1922112143
Dentist - General Practice in Jacksonville, FL

Active since August 17, 2006Opted out of Medicare · through Mar 3, 2027
3965 CONFEDERATE POINT RD, JACKSONVILLE, FL 32210(904) 772-0508 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Lucas Kirk Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN LUCAS KIRK DMD (NPI 1922112143) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN14876) and active in the NPI registry since August 2006. He has opted out of Medicare through March 3, 2027.

NPPES Registry Identity

NPI1922112143
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN LUCAS KIRKCredential: DMD
Location Address3965 CONFEDERATE POINT RDJacksonville, FL 32210-5401
Mailing Address3742 Rustic LnJacksonville, FL 32217-4235 · (904) 739-8978
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1922112143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN14876
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3965 CONFEDERATE POINT RD, Jacksonville, FL 32210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kevin Lucas Kirk Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2021 through March 3, 2027.

Opt-Out Effective DateMarch 3, 2021
Opt-Out In Effect ThroughMarch 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3965 CONFEDERATE POINT RD
JACKSONVILLE, FL 32210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kirk's NPI number?

The NPI number for Kevin Kirk is 1922112143. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Kevin Kirk located?

Kevin Kirk practices at 3965 Confederate Point Rd, Jacksonville, FL 32210. The listed phone number is (904) 772-0508.

What is Kevin Kirk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kevin Kirk enrolled in Medicare?

No. Kevin Kirk has opted out of Medicare through March 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kevin Kirk accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Kevin Kirk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Kirk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.