White Oaks Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WHITE OAKS DENTAL

Practice address

4426 W KL Ave
Kalamazoo, MI 49006-5723

Phone

(269) 364-2833

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Keil, DDSNPI 1811344716

Title

Dentist

Phone

(269) 364-2833

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Keil, D.D.S

  • General Practice Dentistry
  • South Lyon, MI
  • NPI 1811344716
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1720667264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 W KL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065723",
            "telephone_number": "269-364-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 W KL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065723",
            "telephone_number": "269-364-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAKS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "269-364-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811344716",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437686326",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Whicker
• Tamara Marie Whitaker Bay, DPM
• George C Whitaker, MD
• Grace Whitaker
• Jackson J Whitcomb, DDS
• Alonzo White
• Christina Marie White
• Destiny White
• Evan James White, MD
• Gary Zachary White, D.O.

• 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 Oct 5, 2021; 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.