Jeff Van Kirk, Dmd, PC
Jeff Van Kirk, Dmd, PC is a healthcare organization registered as General Practice Dentistry in Stayton, OR, holding Type 2 (organization) NPI 1124440417 since 2014. The authorized official on file is Jeff Van Kirk, President, General Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124440417 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jeff Van Kirk, Dmd, PC |
| Practice address | 450 E WASHINGTON ST, Stayton, OR, 97383 |
| Phone | 5037696351 |
| Fax | 5037597029 |
| Enumeration date | 2014-01-06 |
| Last updated in NPPES | 2014-01-06 |
Authorized official
| Name | Jeff Van Kirk |
|---|---|
| Title | President, General Dentist |
| Phone | 2163943140 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D9848 | OR |
Copy-ready billing details
Provider: Jeff Van Kirk, Dmd, PC NPI: 1124440417 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 450 E WASHINGTON ST, Stayton, OR, 97383
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487722195 | Roger Vansanten | Individual | Dentist | Stayton, OR |
Verify this record
Cross-check NPI 1124440417 against the authoritative CMS record: view Jeff Van Kirk, Dmd, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-01-06.