Kent Neurological Associates PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

KENT NEUROLOGICAL ASSOCIATES PC

Practice address

3200 Eagle Park Dr NE Ste 108
Grand Rapids, MI 49525-7057

Phone

(616) 454-9246

Fax

(616) 970-6068

NPI assigned

Mar 9, 2006

Last updated

Nov 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desiderio Franda Ines, MDNPI 1598730111

Title

Owner

Phone

(616) 454-9246

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desiderio Franda Ines, M.D.

  • Neurology Physician
  • Grand Rapids, MI
  • NPI 1598730111
  Authorized official Same address or phone
• Vicente Caldeira Gracias, M.D.

  • Neurological Surgery Physician
  • Grand Rapids, MI
  • NPI 1346215969
  NPD (past)
• Mark A Larva, PA

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1508813890
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1811965585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-454-9246",
            "fax_number": "616-970-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 EAGLE PARK DR NE STE 108",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257057",
            "telephone_number": "616-454-9246",
            "fax_number": "616-970-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT NEUROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "INES",
        "authorized_official_first_name": "DESIDERIO",
        "authorized_official_middle_name": "FRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-454-9246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent County CMH Authority (Network180)
• Kent County CMH Authority (Network 180)
• Kent Family Dental Care
• Kent Integrated Health Network PLLC
• Kent Intermediate School District
• Kent Otolaryngology Associates, P.C.
• Kent Pathologists PLLC
• Kent Pathology Laboratory PLLC
• Kent Pathology Laboratory PLLC
• Kent Podiatry

• Neurology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.