Organization Active NPI

Gary N. Krebill,DDS,PC

  • General Practice Dentistry
  • Kalamazoo, MI
National Provider Identifier
1760650972
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11322 Issued in MI
Legal business name
GARY N. KREBILL,DDS,PC
Practice address
4341 S Westnedge Ave
Suite 2112
Kalamazoo, MI 49008-3289
Phone
(269) 382-5040
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Gary Neal Krebill, DDSNPI 1649275678
Title
Owner
Phone
(269) 323-9554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11322 MI Primary

Addresses

Primary practice location

4341 S Westnedge Ave
Suite 2112
Kalamazoo, MI 49008-3289

Mailing address

4341 S Westnedge Ave
Suite 2112
Kalamazoo, MI 49008-3289
Phone (269) 382-5040

National Provider Directory

National Provider Directory

Locations

4341 S Westnedge Ave
Ste 2112
Kalamazoo, MI 49008
Phone (269) 382-5040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1760650972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "SUITE 2112",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083289",
            "telephone_number": "269-382-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "SUITE 2112",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083289",
            "telephone_number": "269-382-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY N. KREBILL,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "KREBILL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-323-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11322",
            "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 Feb 11, 2008; 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.