Individual provider Active NPI

Kyle Chandler Grindling, D.D.S.

  • General Practice Dentistry
  • Auburn Hills, MI
National Provider Identifier
1861620874
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021702 Issued in MI
Practice address
3709 Auburn Rd
Auburn Hills, MI 48326-3324
Phone
(248) 852-8766
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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 2901021702 MI Primary

Addresses

Primary practice location

3709 Auburn Rd
Auburn Hills, MI 48326-3324

Mailing address

3709 Auburn Rd
Auburn Hills, MI 48326-3324
Phone (248) 852-8766

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
2901021702MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T. Tobola DDS,PC PastSince Jul 17, 2022 Accepting new patients
Kyle Grindling DDS PC Past Accepting new patients

Organizations & group practices 2

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554508800000",
    "number": "1861620874",
    "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": "248-852-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 AUBURN RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263324",
            "telephone_number": "248-852-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDLING",
        "first_name": "KYLE",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2019-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021702",
            "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 Apr 6, 2019; 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.