Kalamazoo Dental Care Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KALAMAZOO DENTAL CARE ASSOCIATES LLC

Practice address

5901 King Hwy
Kalamazoo, MI 49048-6030

Phone

(269) 344-4443

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Opal Anderson

Title

Coo

Phone

(440) 823-6790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1699238196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 KING HWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 KING HWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486030",
            "telephone_number": "269-344-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO DENTAL CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-823-6790"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalamazoo County Community Mental Health Authority
• Kalamazoo County Community Mental Health Authority
• Kalamazoo County Community Mental Health Authority
• Kalamazoo County Community Mental Health Authority
• Kalamazoo County Government Dental Clinic
• Kalamazoo Emergency Associates, PLC
• Kalamazoo Empowerment Services, PLC
• Kalamazoo Endodontics PLLC
• Kalamazoo Evidence Based Therapy
• Kalamazoo Family Smiles, PLLC

• General Practice Dentistry in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.