Brent Alan Kolb, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018784 Issued in MI

Practice address

8031 Main Street
Suite 303
Dexter, MI 48130-1150

Phone

(734) 426-9000

Fax

(734) 426-8845

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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.

• Dexter Family Dentistry

  • General Practice Dentistry
  • Dexter, MI
  • NPI 1215557889
  Authorized official Same address or phone

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073641882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NORTHBROOK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036194",
            "telephone_number": "734-426-9000",
            "fax_number": "734-426-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 MAIN STREET",
            "address_2": "SUITE 303",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301150",
            "telephone_number": "734-426-9000",
            "fax_number": "734-426-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce E Kaferle, MD
• Shubham Raakhee Kalwani, DO
• McKenzie Moloney Kennedy
• Anne L Kittendorf, MD
• Elizabeth Kohler
• Andrew Koran III, D.D.S., M.S.
• Michelle Leigh Kornow
• Jesse H Krikorian, MD
• Ardiana Kuhr
• Kyle Joseph Kusnier

• General Practice Dentistry in Dexter, MI
• Providers in Dexter, 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 Jul 8, 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.