Active NPI
Bakeman & Kuckhoff Dentistry, PLLC
- Dental Clinic/Center
- Grand Rapids, MI
National Provider Identifier
1104737527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BAKEMAN & KUCKHOFF DENTISTRY, PLLC
- Practice address
- 2757 Leonard St NE Ste 100
Grand Rapids, MI 49525-5807 - Phone
- (616) 940-0481
- Fax
- (616) 940-0486
- NPI assigned
- Sep 15, 2026
- Last updated
- Sep 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Kuckhoff, DMD
- Title
- Co-Owner
- Phone
- (616) 940-0481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2757 Leonard St NE Ste 100
Grand Rapids, MI 49525-5807
Mailing address
2757 Leonard St NE Ste 100
Grand Rapids, MI 49525-5807
Phone (616) 940-0481
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Grand Rapids, MI
- NPI 1750949715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1104737527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2757 LEONARD ST NE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495255807",
"telephone_number": "616-940-0481",
"fax_number": "616-940-0486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2757 LEONARD ST NE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495255807",
"telephone_number": "616-940-0481",
"fax_number": "616-940-0486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKEMAN & KUCKHOFF DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "KUCKHOFF",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "616-940-0481",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.