Kent Family Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENT FAMILY DENTAL CARE

Practice address

2515 Alpine Ave NW
Grand Rapids, MI 49544-1924

Phone

(616) 364-9348

Fax

(616) 364-5950

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey W. Stachel, D.D.S.NPI 1972694420

Title

President

Phone

(616) 364-9348

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jeffrey W Stachel, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1972694420
  NPD (past) Authorized official
• Philip H McCorkle III, D.D.S.

  • General Practice Dentistry
  • Big Rapids, MI
  • NPI 1477644839
  NPD (past)
• Nicole I Miller, D.D.S

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1437231958
  NPD (past)
• Larry Wildt, D.D.S

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1780775130
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538250907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 WOODVALE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469147",
            "telephone_number": "616-364-9348",
            "fax_number": "616-364-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 ALPINE AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441924",
            "telephone_number": "616-364-9348",
            "fax_number": "616-364-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STACHEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-364-9348",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent County CMH Authority (Network180)
• Kent County CMH Authority (Network 180)
• Kent County CMH Authority (Network 180 Crisis Unit)
• Kent County CMH Authority (Network180)
• Kent County CMH Authority (Network 180)
• Kent Integrated Health Network PLLC
• Kent Intermediate School District
• Kent Neurological Associates PC
• Kent Otolaryngology Associates, P.C.
• Kent Pathologists PLLC

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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.