Kevin P Flood D D S-P C

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KEVIN P FLOOD D D S-P C

Practice address

4990 Cascade Rd SE
Grand Rapids, MI 49546-8416

Phone

(616) 974-4990

Fax

(616) 974-4999

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin P Flood, D D S-P C

Title

Dentist

Phone

(616) 974-4990

Specialties & licenses 1

Addresses

Other names 1

• The Dental Health And Wellness Center Other name

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1194888214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468416",
            "telephone_number": "616-974-4990",
            "fax_number": "616-974-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468416",
            "telephone_number": "616-974-4990",
            "fax_number": "616-974-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P FLOOD D D S-P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-974-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D D S-P C"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Health And Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabrielle Stone Kettlewell, OTR/L
• Ann Louise Kettner
• Amy Jo Kettring, LMSW
• Adele N. Keuhs, LMSW
• Lindsey Keuning, NP
• Casey Jon Key, MD
• Jamarri Key
• Lisa Michele Key, LMSW
• Kristen Danielle Keyes-Hart, PT
• Jonathan S Keyes Jr.

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.