Active NPI
Meggan Louise-Krause McCone, D.D.S.
- Pediatric Dentistry
- Grand Rapids, MI
National Provider Identifier
1669814166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2901020473
- Practice address
- 1750 Grand Ridge CT NE
Suite 202
Grand Rapids, MI 49525 - Phone
- (616) 988-9485
- Fax
- (616) 988-9486
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2901020473 | MI | Primary |
Addresses
Primary practice location
1750 Grand Ridge CT NE
Suite 202
Grand Rapids, MI 49525
Mailing address
1750 Grand Ridge CT NE
Suite 202
Grand Rapids, MI 49525
Phone (616) 988-9485
Other names 1
- Dr. Meggan Louise Krause
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020473 | MI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Smiles Pediatric Dentistry P.C. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Grand Rapids, MI
- NPI 1730519661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1669814166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 GRAND RIDGE CT NE",
"address_2": "SUITE 202",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49525",
"telephone_number": "616-988-9485",
"fax_number": "616-988-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 GRAND RIDGE CT NE",
"address_2": "SUITE 202",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49525",
"telephone_number": "616-988-9485",
"fax_number": "616-988-9486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONE",
"first_name": "MEGGAN",
"middle_name": "LOUISE-KRAUSE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "2901020473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGGAN",
"last_name": "KRAUSE",
"middle_name": "LOUISE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.