Organization Active NPI

Kim Dentistry PLLC

  • General Practice Dentistry
  • Lansing, MI
National Provider Identifier
1316809676
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Nov 25, 2025

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.