KV Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021386 Issued in MI

Legal business name

KV FAMILY DENTAL PLLC

Practice address

300 S State St Ste 2
Zeeland, MI 49464-1677

Phone

(616) 772-6243

NPI assigned

Aug 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Karel Vandervelden, DMD

Title

Owner

Phone

(616) 772-6243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1194206433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STATE ST STE 2",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641677",
            "telephone_number": "616-772-6243",
            "fax_number": "616-772-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ST STE 2",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641677",
            "telephone_number": "616-772-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KV FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "VANDERVELDEN",
        "authorized_official_first_name": "KAREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-772-6243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932598802",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope E Kortman
• Nycole L Kragt
• Jager C Kukowski
• Londa Faye Kurburski, LMSW
• Eric Kurzinski, D.C.
• Bryan Lacy, NBC-HWC
• Megan Ladiski
• Caley R Ladomer
• Sarah Marie Lagrand, CNM, MSN
• Carley Laird

• General Practice Dentistry in Zeeland, MI
• Providers in Zeeland, 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 Mar 13, 2019; 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.