Organization Active NPI

Katherine Khaghany Duffy PLC

Doing business as Drake Dental

  • Dental Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1497366561
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KATHERINE KHAGHANY DUFFY PLC
Doing business as
Drake Dental
Practice address
465 S Drake Rd
Kalamazoo, MI 49009-1216
Phone
(269) 344-7222
Fax
(269) 344-7227
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Katherine Khaghany Duffy, DDS
Title
Owner/ Dentist
Phone
(269) 344-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

465 S Drake Rd
Kalamazoo, MI 49009-1216

Mailing address

465 S Drake Rd
Kalamazoo, MI 49009-1216
Phone (269) 344-7222

Other practice location 1

1801 W Centre Ave
Portage, MI 49024-5343
Phone (269) 448-8400

Other names 1

  • Drake Dental Doing business as

National Provider Directory

National Provider Directory

Locations

465 S Drake Rd
Kalamazoo, MI 49009
Phone (269) 344-7222

1801 W Centre Ave
Portage, MI 49024
Phone (269) 448-8400

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1497366561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091216",
            "telephone_number": "269-344-7222",
            "fax_number": "269-344-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091216",
            "telephone_number": "269-344-7222",
            "fax_number": "269-344-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490245343",
            "country_code": "US",
            "telephone_number": "269-448-8400",
            "fax_number": "269-344-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHERINE KHAGHANY DUFFY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "KHAGHANY DUFFY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "269-344-7222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.