Organization Active NPI

Kalamazoo Family Smiles, PLLC

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1588311583
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KALAMAZOO FAMILY SMILES, PLLC
Practice address
5925 Venture Park Dr
Kalamazoo, MI 49009-1859
Phone
(269) 353-3700
Fax
(269) 353-3701
NPI assigned
Mar 9, 2022
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Dr. Katherine S Bandos, DMDNPI 1467846055
Title
Owner/Dentist
Phone
(269) 353-3700

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
Dentist 122300000X Primary

Addresses

Primary practice location

5925 Venture Park Dr
Kalamazoo, MI 49009-1859

Mailing address

5925 Venture Park Dr
Kalamazoo, MI 49009-1859
Phone (269) 353-3700

National Provider Directory

National Provider Directory

Locations

5925 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 353-3700

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": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1588311583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 VENTURE PARK DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091859",
            "telephone_number": "269-353-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 VENTURE PARK DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091859",
            "telephone_number": "269-353-3700",
            "fax_number": "269-353-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO FAMILY SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "BANDOS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "269-353-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "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 May 26, 2022; 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.