Active NPI
Kristopher Poole
- Contractor
- Lincoln Park, MI
National Provider Identifier
1467329656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 242401177
- Practice address
- 708 Emmons Blvd
Lincoln Park, MI 48146-4616 - Phone
- (313) 969-6479
- NPI assigned
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 242401177 | MI | Primary |
Addresses
Primary practice location
708 Emmons Blvd
Lincoln Park, MI 48146-4616
Mailing address
708 Emmons Blvd
Lincoln Park, MI 48146-4616
Phone (313) 969-6479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242401177 | MI | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbuild Construction LLC | Contractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Contractor
- Lincoln Park, MI
- NPI 1336006402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1467329656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 EMMONS BLVD",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464616",
"telephone_number": "313-969-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 EMMONS BLVD",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464616",
"telephone_number": "313-969-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "KRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": "242401177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.