Active NPI
Kali Mutschler Prillwitz, DDS
- General Practice Dentistry
- Grandville, MI
National Provider Identifier
1477448447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901602615
- Practice address
- 3100 Wilson Ave SW Ste 3
Grandville, MI 49418-1200 - Phone
- (616) 534-7138
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901602615 | MI | Primary |
Addresses
Primary practice location
3100 Wilson Ave SW Ste 3
Grandville, MI 49418-1200
Mailing address
3100 Wilson Ave SW Ste 3
Grandville, MI 49418-1200
Phone (616) 534-7138
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 |
|---|---|---|---|
| 2901602615 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seva Dental Michigan PC | Current | Accepting new patients |
Locations
3100 Wilson Ave SW
Ste 3
Grandville, MI 49418
Phone (616) 534-7138
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1477448447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WILSON AVE SW STE 3",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181200",
"telephone_number": "616-534-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WILSON AVE SW STE 3",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181200",
"telephone_number": "616-534-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRILLWITZ",
"first_name": "KALI",
"middle_name": "MUTSCHLER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901602615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.