Alison Nicole Kirschenbaum, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

A2901018923 Issued in MI

Practice address

940 W Avon Rd
Suite 12
Rochester Hills, MI 48307-2760

Phone

(248) 652-7172

Fax

(248) 652-0748

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1013135748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 STANLEY BLVD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091953",
            "telephone_number": "248-644-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W AVON RD",
            "address_2": "SUITE 12",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-652-7172",
            "fax_number": "248-652-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHENBAUM",
        "first_name": "ALISON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "A2901018923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nada Kinaya, FNP
• Neil Gregory King, PT
• Seth King, DPT
• Kaitlen Kinney
• Sarah Kinsman
• Xandrea L Kirtley, MD
• Joan Kirwan, RN
• Juliana Kishek
• Ranem Kishmish, RPH
• Sarah Kissel, DPT

• General Practice Dentistry in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.