Organization Active NPI

Kalamazoo Endodontics PLLC

  • Endodontics
  • Kalamazoo, MI
National Provider Identifier
1497691109
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
KALAMAZOO ENDODONTICS PLLC
Practice address
1040 N 10TH St Ste 230
Kalamazoo, MI 49009-6150
Phone
(269) 372-6333
NPI assigned
Apr 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Authorized official

Name
Dr. Bradley Phares, DDS, MSNPI 1568918837
Title
Endodontist
Phone
(269) 929-3767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1040 N 10TH St Ste 230
Kalamazoo, MI 49009-6150

Mailing address

307 Buttonwood Cir
Shreveport, LA 71106-7680
Phone (269) 929-3767

National Provider Directory

National Provider Directory

Locations

1040 N 10th St
Ste 230
Kalamazoo, MI 49009
Phone (269) 372-6333

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1497691109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BUTTONWOOD CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067680",
            "telephone_number": "269-929-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N 10TH ST STE 230",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096150",
            "telephone_number": "269-372-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "269-929-3767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 2026; 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.