Kevin a. Coe D.D.S., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018440 Issued in MI

Legal business name

KEVIN A. COE D.D.S., PC

Practice address

4760 Kalamazoo Ave SE
Kentwood, MI 49508-4628

Phone

(616) 281-3020

Fax

(616) 281-6110

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Andrew Coe, D.D.S.NPI 1912914573

Title

Dentist

Phone

(616) 281-3020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Kevin Andrew Coe, D.D.S.

  • General Practice Dentistry
  • Salinas, CA
  • NPI 1912914573
  NPD (past) Authorized official
• Peter Stianson Graham, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1316926819
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477560043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CHIPPEWA DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063319",
            "telephone_number": "616-283-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 KALAMAZOO AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084628",
            "telephone_number": "616-281-3020",
            "fax_number": "616-281-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN A. COE D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-281-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "D184400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentwood Family Dental Care, PLC
• Kentwood Operations, LLC
• Kentwood Pharmacy
• Kentwood Physical Therapy, PLLC
• Keren Home Care Solutions LLC
• Xolani Dean Khaka I
• Jessica Megan Kibiloski
• Sarah Kieling
• Skyler Kilcrease
• Kimberly Culp Counseling, PLC

• General Practice Dentistry in Kentwood, MI
• Providers in Kentwood, 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 Aug 22, 2020; 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.