Organization Active NPI

Kalamazoo Valley Dental Care PC

  • Dental Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1265765580
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901019040 Issued in MI
Legal business name
KALAMAZOO VALLEY DENTAL CARE PC
Practice address
1141 S Rose St
Kalamazoo, MI 49001-2652
Phone
(269) 388-5832
Fax
(269) 388-4599
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Dr. Carmy Gabriel Michael, DDS
Title
Owner
Phone
(269) 388-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901019040 MI Primary

Addresses

Primary practice location

1141 S Rose St
Kalamazoo, MI 49001-2652

Mailing address

1141 S Rose St
Kalamazoo, MI 49001-2652
Phone (269) 388-5832

National Provider Directory

National Provider Directory

Locations

1141 S Rose St
Kalamazoo, MI 49001
Phone (269) 344-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1265765580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012652",
            "telephone_number": "269-388-5832",
            "fax_number": "269-388-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012652",
            "telephone_number": "269-388-5832",
            "fax_number": "269-388-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO VALLEY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "CARMY",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-388-5832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901019040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.