Individual provider Active NPI

Kathryn Verhey Burggraaf, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1689883092
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019580 Issued in MI
Practice address
3167 Kalamazoo Ave SE Ste 208
Grand Rapids, MI 49508-1475
Phone
(616) 219-2659
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019580 MI Primary

Addresses

Primary practice location

3167 Kalamazoo Ave SE Ste 208
Grand Rapids, MI 49508-1475

Mailing address

3167 Kalamazoo Ave SE Ste 208
Grand Rapids, MI 49508-1475
Phone (616) 241-2659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000245 MI Order and Referring Only - Other (Non-Physician) 5395065650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019580MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KB Family Dentistry PLC General Practice Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1689883092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 KALAMAZOO AVE SE STE 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081475",
            "telephone_number": "616-241-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 KALAMAZOO AVE SE STE 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081475",
            "telephone_number": "616-219-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGGRAAF",
        "first_name": "KATHRYN",
        "middle_name": "VERHEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.