NPIMap

Organization Active NPI

Kalamazoo County Government Dental Clinic

  • Public Health or Welfare Agency
  • Kalamazoo, MI
National Provider Identifier
1720271554
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KALAMAZOO COUNTY GOVERNMENT DENTAL CLINIC
Practice address
3299 Gull Rd
Kalamazoo, MI 49048-1281
Phone
(269) 373-5259
Fax
(269) 373-5292
NPI assigned
Aug 24, 2007
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF KALAMAZOO HEALTH & COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Douglas Homnick, MDNPI 1942279815
Title
Medical Director
Phone
(269) 373-5261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

3299 Gull Rd
Kalamazoo, MI 49048-1281

Mailing address

PO Box 42
Nazareth, MI 49074-0042
Phone (269) 373-5200

National Provider Directory

National Provider Directory
Tax ID family
Kalamazoo County Commun4 organizations share this tax ID, including this one
Part of
Kalamazoo County Commun

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1720271554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "NAZARETH",
            "state": "MI",
            "postal_code": "490740042",
            "telephone_number": "269-373-5200",
            "fax_number": "269-373-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481281",
            "telephone_number": "269-373-5259",
            "fax_number": "269-373-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO COUNTY GOVERNMENT DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF KALAMAZOO HEALTH & COMMUNITY SERVICES",
        "enumeration_date": "2007-08-24",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "HOMNICK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-373-5261",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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 Apr 15, 2011; 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.