KB Family Dentistry PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019580 Issued in MI

Legal business name

KB FAMILY DENTISTRY PLC

Practice address

3167 Kalamazoo Ave SE # 1
Grand Rapids, MI 49508-1475

Phone

(616) 241-2659

NPI assigned

Jan 21, 2016

Last updated

Jan 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Burggraaf, DDSNPI 1689883092

Title

Owner

Phone

(616) 241-2659

Specialties & licenses 1

Addresses

Locations

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.

• Kathryn Verhey Burggraaf, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1689883092
  NPD Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1154788230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 KALAMAZOO AVE SE # 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081475",
            "telephone_number": "616-241-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 KALAMAZOO AVE SE # 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081475",
            "telephone_number": "616-241-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB FAMILY DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "BURGGRAAF",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-241-2659",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Richard Kay
• Sasha Kay, BCBA
• Kayla Pacic Counseling Services, PLLC
• Amanda Kaza, NP
• Bashar Faiez Kazanji, MD
• Kboose
• Monique Kean, RN
• Tammie Ann Keane, CRNA
• John Raymond Kearney, PAC
• Aubrey Keas, PA-S

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 Jan 21, 2016; 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.