Organization Active NPI

David G. Kardynal DDS

  • Dental Clinic/Center
  • Shelby TWP, MI
National Provider Identifier
1124636428
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID G. KARDYNAL DDS
Practice address
48635 Hayes Rd
Shelby TWP, MI 48315-4403
Phone
(586) 247-2250
Fax
(586) 247-8428
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Debra Jones
Title
Office Manager
Phone
(586) 247-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

48635 Hayes Rd
Shelby TWP, MI 48315-4403

Mailing address

48635 Hayes Rd
Shelby TWP, MI 48315-4403
Phone (586) 247-2250

National Provider Directory

National Provider Directory

Locations

48635 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2250

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1124636428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48635 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154403",
            "telephone_number": "586-247-2250",
            "fax_number": "586-247-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48635 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154403",
            "telephone_number": "586-247-2250",
            "fax_number": "586-247-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. KARDYNAL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-247-2250"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.