Kirkwood E Faber, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10419 Issued in MI

Practice address

124 W Cass St
Greenville, MI 48838-1938

Phone

(616) 754-3511

NPI assigned

Mar 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flat Rriver Family Dentistry PLLC

  • Dentist
  • Greenville, MI
  • NPI 1235375296

  General Practice

  NPD (past)
• Greenville Family Dentistry

  dba Flat River Family Dentistry

  • General Practice Dentistry
  • Greenville, MI
  • NPI 1871924290
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205803244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W CASS ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381938",
            "telephone_number": "616-754-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W CASS ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381938",
            "telephone_number": "616-754-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "KIRKWOOD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Emery, O.D.
• Eric M Orenstein MD PC
• Yasmin Espinosa
• Amanda Kinney Estill, LPC
• Leah Anne Eytcheson, CNP
• William A. Fabricius, M.D.
• Alyssa Fedorko, MD/PHD
• Ashley Nicole Feehan, DO
• Evelyn Rose Fehrlen
• Amanda Veenhuis Felber, PA-C

• General Practice Dentistry in Greenville, MI
• Providers in Greenville, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.