Organization Active NPI

Kelly J Rigney DDS PLLC

  • Dental Clinic/Center
  • South Lyon, MI
National Provider Identifier
1659901973
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELLY J RIGNEY DDS PLLC
Practice address
21800 Pontiac TRL Ste 100
South Lyon, MI 48178-7400
Phone
(248) 437-8300
Fax
(248) 437-8066
NPI assigned
Jan 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Dr. Kelly Jim Rigney, DDS
Title
Owner/Dentist
Phone
(734) 657-3536

Specialties & licenses 1

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

Addresses

Primary practice location

21800 Pontiac TRL Ste 100
South Lyon, MI 48178-7400

Mailing address

3552 Bradford Square Dr
Ann Arbor, MI 48103-6307
Phone (734) 657-3536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1659901973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 BRADFORD SQUARE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036307",
            "telephone_number": "734-657-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 PONTIAC TRL STE 100",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481787400",
            "telephone_number": "248-437-8300",
            "fax_number": "248-437-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY J RIGNEY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "RIGNEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "734-657-3536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.