Individual provider Active NPI

Bardha Krasniqi, DMD

  • Dentist
  • Hudsonville, MI
National Provider Identifier
1053696096
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022551 Issued in MI
Practice address
7559 36TH Ave Ste 400
Hudsonville, MI 49426-7651
Phone
(616) 229-7177
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2205 ND
Public Health Dentistry 1223D0001X 2205 ND
Dentist 122300000X 2901022551 MI Primary

Addresses

Primary practice location

7559 36TH Ave Ste 400
Hudsonville, MI 49426-7651

Mailing address

7559 36TH Ave Ste 400
Hudsonville, MI 49426-7651
Phone (616) 229-7177

Other names 1

  • Mrs. Fatbardhe Krasniqi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022551MIMDDentist
2205NDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. K Family Dentistry, PLC CurrentSince Apr 17, 2022 Accepting new patients
Snyder Family Dentistry PLLC Past Accepting new patients

Locations

7559 36th Ave
Ste 400
Hudsonville, MI 49426
Phone (616) 229-7177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1053696096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7559 36TH AVE STE 400",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267651",
            "telephone_number": "616-229-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 36TH AVE STE 400",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267651",
            "telephone_number": "616-229-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNIQI",
        "first_name": "BARDHA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2205",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "ND",
            "license": "2205",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATBARDHE",
            "last_name": "KRASNIQI",
            "prefix": "MRS.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.