Kelly Elizabeth Doering, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020643 Issued in MI

Practice address

2264 S State Rd
Ionia, MI 48846-2149

Phone

(616) 527-6777

NPI assigned

Jun 29, 2012

Last updated

Dec 8, 2017By the provider in NPPES

Sex

Female

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.

• Ionia Dental, PLLC

  • General Practice Dentistry
  • Ionia, MI
  • NPI 1518470558
  NPD (past) Authorized official
• Julie R Vanhoose DMD and Kyle Gies DDS, PC

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1750549150
  NPD (past)
• Muscott & Muscott Dental Health Center, PLC

  • General Practice Dentistry
  • Ionia, MI
  • NPI 1346341187
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1275897712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488460513",
            "telephone_number": "616-527-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462149",
            "telephone_number": "616-527-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 E Paris Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466134",
            "country_code": "US",
            "telephone_number": "616-942-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERING",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Deling, MA, LLPCE
• Penny Denis
• Jamie Denney
• Megan Dillingham
• Michelle Lynea Dodge, MA CCC-SLP
• Patricia Donahue, PA
• Alexzandra Doty
• Doucette Counseling Services LLC
• Julie Ann Dowling, LMSW
• Jessica Dryer, RN

• Dentist in Ionia, MI
• Providers in Ionia, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.