Grand Ridge Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRAND RIDGE FAMILY DENTISTRY

Practice address

3350 Grand Ridge Dr NE
Grand Rapids, MI 49525-7071

Phone

(810) 341-3642

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Keener, DDSNPI 1598223166

Title

Dentist

Phone

(810) 341-3642

Specialties & licenses 1

Addresses

Other names 1

• Ryan Keener DDS PLLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Keener, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1598223166
  NPD Authorized official

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1427769934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 GRAND RIDGE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257071",
            "telephone_number": "810-341-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 GRAND RIDGE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257071",
            "telephone_number": "810-341-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIDGE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-04",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-341-3642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Keener DDS PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Grand Rapids Vision Therapy LLC (Wow Vision Therapy)
• Grand Rapids Wellness, PC
• Grand Rapids Womens Health PC
• Grand Ridge Family Dentistry
• Grand River Bands of Ottawa Indians Inc.
• Grand River Cardiology, PLC
• Grand River Emergency Medical Group PLC
• Grand River Endoscopy Center, L.L.C.
• Grand River Gastroenterology PC

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 6, 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.