Active NPI
Kim Dentistry PLLC
- General Practice Dentistry
- Lansing, MI
National Provider Identifier
1316809676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KIM DENTISTRY PLLC
- Practice address
- 4912 W St Joe Hwy Ste 2
Lansing, MI 48917-4090 - Phone
- (517) 886-1100
- Fax
- (517) 327-1071
- NPI assigned
- Nov 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Brown
- Title
- Front Office Admin
- Phone
- (517) 886-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4912 W St Joe Hwy Ste 2
Lansing, MI 48917-4090
Mailing address
4912 W St Joe Hwy Ste 2
Lansing, MI 48917-4090
Phone (517) 886-1100
National Provider Directory
National Provider DirectoryLocations
4912 W St Joe Hwy
Ste 2
Lansing, MI 48917
Phone (517) 886-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764028800000",
"number": "1316809676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4912 W ST JOE HWY STE 2",
"city": "LANSING",
"state": "MI",
"postal_code": "489174090",
"telephone_number": "517-886-1100",
"fax_number": "517-327-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4912 W ST JOE HWY STE 2",
"city": "LANSING",
"state": "MI",
"postal_code": "489174090",
"telephone_number": "517-886-1100",
"fax_number": "517-327-1071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "FRONT OFFICE ADMIN",
"authorized_official_telephone_number": "517-886-1100"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.