NPIMap

Organization Active NPI

Renee Kirkpatrick DDS PLLC

  • Dentist
  • Fenton, MI
National Provider Identifier
1407597883
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RENEE KIRKPATRICK DDS PLLC
Practice address
111 S Walnut St
Fenton, MI 48430-2150
Phone
(248) 629-9432
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Dr. Renee Kirkpatrick, DDSNPI 1639377211
Title
Dentist
Phone
(810) 629-9432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

111 S Walnut St
Fenton, MI 48430-2150

Mailing address

111 S Walnut St
Fenton, MI 48430-2150
Phone (248) 629-9432

Other names 1

  • RK Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

111 S Walnut St
Fenton, MI 48430
Phone (248) 629-9432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1407597883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WALNUT ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302150",
            "telephone_number": "248-629-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WALNUT ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302150",
            "telephone_number": "248-629-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE KIRKPATRICK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-629-9432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RK Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.