Kaiser Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901009847 Issued in MI

Legal business name

KAISER DENTAL PC

Practice address

23105 Van Dyke Ave
Warren, MI 48089-1622

Phone

(586) 759-5353

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hanley Lawrence Kaiser, DDS

Title

President

Phone

(586) 759-5353

Specialties & licenses 1

Addresses

Other names 1

• Superteeth Other name

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1386829059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23105 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891622",
            "telephone_number": "586-759-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23105 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891622",
            "telephone_number": "586-759-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "HANLEY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-759-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superteeth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• K Family Dentistry PLLC
• Kaiser Faiz Kabir, DO
• Rania Kachouh, MA., LLPC
• Stephanie Nicole Kaddis, DDS
• Norbert Kadler, CRNA
• Belinda S Kakos, DO
• Kalasho Education and Youth Services
• Kalasho Education and Youth Services
• Theodora Kalfa-Bremer
• Mark Kalpin, B.S.

• General Practice Dentistry in Warren, MI
• Providers in Warren, 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 Dec 31, 2007; 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.