OrganizationActive
Jeff Van Kirk, DMD, PC
NPI 1124440417 · General Practice Dentistry · Stayton, OR
Provider details
- NPI number
- 1124440417
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeff Van Kirk, President, General Dentist(216) 394-3140
- License
- D9848 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
450 E Washington St
Stayton, OR 97383-1837
Phone: (503) 769-6351
Fax: (503) 759-7029
Street-level locationGet directions
Mailing address
1390 Alpine Lakes St Se
Salem, OR 97317-6976
Registry dates
- Enumerated
- 2014-01-06
- Last updated
- 2014-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.