Kacy Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011072 Issued in MI

Legal business name

KACY FAMILY DENTISTRY, PC

Practice address

77 W Square Lake Rd
Troy, MI 48098-2929

Phone

(248) 879-2980

Fax

(248) 879-2983

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Donald R Kacy, DDS

Title

Dentist

Phone

(248) 879-2980

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1316084379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982929",
            "telephone_number": "248-879-2980",
            "fax_number": "248-879-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982929",
            "telephone_number": "248-879-2980",
            "fax_number": "248-879-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACY FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KACY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-879-2980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011072",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lawton Justice
• Olivia Rose Justice
• Lydia A. Juzych, M.D.
• K Riley Agency, LLC (The Dove House Integrative Health)
• Alyssa Kabarowski, LLPC
• Bryan D. Kacy, DDS
• Donald R. Kacy, DDS
• Samantha Michelle Kaczmarek, FNP-BC
• Jill Spencer Kaczor, M.S.W.
• Dominick Kada

• General Practice Dentistry in Troy, MI
• Providers in Troy, 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 Apr 2, 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.