Organization Active NPI

Kalamazoo Smiles on Drake

  • General Practice Dentistry
  • Kalamazoo, MI
National Provider Identifier
1558228080
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KALAMAZOO SMILES ON DRAKE
Practice address
1624 S Drake Rd
Kalamazoo, MI 49006-5780
Phone
(269) 345-1455
Fax
(269) 978-0313
NPI assigned
Jan 7, 2026
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Barbara McPhall
Title
Office Manager
Phone
(269) 345-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1624 S Drake Rd
Kalamazoo, MI 49006-5780

Mailing address

1624 S Drake Rd
Kalamazoo, MI 49006-5780
Phone (269) 345-1455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1558228080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065780",
            "telephone_number": "269-345-1455",
            "fax_number": "269-978-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065780",
            "telephone_number": "269-345-1455",
            "fax_number": "269-978-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO SMILES ON DRAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "MCPHALL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-345-1455"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "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 Jan 7, 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.