Michele Marie Kinney, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

021456-01 Issued in NY

Practice address

102 Ford St
Ogdensburg, NY 13669-1402

Phone

(315) 713-9350

NPI assigned

Nov 22, 2024

Last updated

Nov 22, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• United Cerebral Palsy Association of the North Country, Inc.

  dba Community Health Center of the North Country

  • Federally Qualified Health Center (FQHC)
  • Canton, NY
  • NPI 1467432765
  NPD

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1073338133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 COUNTY ROUTE 28",
            "city": "LISBON",
            "state": "NY",
            "postal_code": "136583222",
            "telephone_number": "315-276-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691402",
            "telephone_number": "315-713-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "021456-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy M Kiah, RPAC
• Kimro Inc (Kimros Medicine Place)
• Matthew Aldridge King, CRT
• Jacob H Kinney, PEER SUPPORT
• Jamie Kinney
• Stacie Lee Kinney, SPECIAL ED TEACHER
• Amy Kirker, LPN
• Mary Knight, FNP
• Pazliddin Kobilov, DDS
• Vijayasimha Kotha, MD

• Dental Hygienist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.