Kyle Bernard Danek, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020695 Issued in MI

Practice address

9420 Birch Run Rd
Birch Run, MI 48415-9442

Phone

(989) 624-5570

NPI assigned

May 31, 2012

Sex

Male

Sole proprietor

No

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.

• Birch Run Family Dental PC

  • General Practice Dentistry
  • Birch Run, MI
  • NPI 1881869576
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2012.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1477814978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 BIRCH RUN RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159442",
            "telephone_number": "989-624-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 BIRCH RUN RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159442",
            "telephone_number": "989-624-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANEK",
        "first_name": "KYLE",
        "middle_name": "BERNARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Cartwright, FNP
• Christine Stevens LMSW PLLC
• CMS Counseling Services LLC
• Ginger Rae Colley
• Cynthia Lynn Christenson
• Paul Charles Danek, DDS
• Daniel & Max, LLC
• Megan Dennings
• Courtney Nicole Diffin
• Samantha Dutra

• All providers in Birch Run, MI
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.