Michael Brian Kreiner

Primary specialty

DentistTaxonomy code 122300000X

License

2901601421 Issued in MI

Practice address

4216 24TH Ave Ste 100
Fort Gratiot, MI 48059-4083

Phone

(810) 984-8669

NPI assigned

May 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Scott Nigl Dental PC

  • General Practice Dentistry
  • Fort Gratiot, MI
  • NPI 1952791949
  NPD (past)

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1760128482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CRYSTAL LN",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 24TH AVE STE 100",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594083",
            "telephone_number": "810-984-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREINER",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Ann Klinger
• Aspria Knight
• Paige Eileen Koglin
• Phillip A Kohanov, O.D.
• Richard R Kovar, DO
• Randy Krieg, RPH
• Kristen Nicole Kronner
• Melissa Dawn Kruse, LMSW/ACSW
• Philomena Kurzawe-Breault, MA, LLP, BCBA
• Sherry Lynn Kurzym, NP-BC

• Dentist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.