Individual provider Active NPI

Kenneth Tracy Grindling, DDS

  • General Practice Dentistry
  • Auburn Hills, MI
National Provider Identifier
1740406099
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901012900 Issued in MI
Practice address
3709 Auburn Road
Auburn Hills, MI 48326
Phone
(248) 858-2396
Fax
(248) 852-1813
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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 2901012900 MI Primary

Addresses

Primary practice location

3709 Auburn Road
Auburn Hills, MI 48326

Mailing address

3709 Auburn Rd
Auburn Hills, MI 48326-3324
Phone (248) 858-2396

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

LicenseStateTypeSpecialty
2901012900MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Grindling DDS PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1740406099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 AUBURN RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263324",
            "telephone_number": "248-858-2396",
            "fax_number": "248-852-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 AUBURN ROAD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "248-858-2396",
            "fax_number": "248-852-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDLING",
        "first_name": "KENNETH",
        "middle_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.