Organization Active NPI

Affordable Dentures & Implants - Kalamazoo II, P.C.

  • General Practice Dentistry
  • Kalamazoo, MI
National Provider Identifier
1750102281
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - KALAMAZOO II, P.C.
Practice address
5017 W Main St
Kalamazoo, MI 49009-1001
Phone
(269) 382-0810
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Dr. Obed Galla Pimentel, DDS
Title
Owner
Phone
(269) 382-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5017 W Main St
Kalamazoo, MI 49009-1001

Mailing address

5017 W Main St
Kalamazoo, MI 49009-1001
Phone (269) 382-0810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1750102281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091001",
            "telephone_number": "269-382-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091001",
            "telephone_number": "269-382-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - KALAMAZOO II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "GALLA PIMENTEL",
        "authorized_official_first_name": "OBED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-382-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Oct 17, 2024; 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.