Kendra M Stump, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902015057 Issued in MI

Practice address

122 Highland Dr
Jackson, MI 49201-9164

Phone

(517) 740-2596

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smiles on Wheels

  • Dentist
  • Jackson, MI
  • NPI 1477611234

  Single Specialty

  NPD

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1922973361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 WESTWOOD DR",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HIGHLAND DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019164",
            "telephone_number": "517-740-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMP",
        "first_name": "KENDRA",
        "middle_name": "M",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902015057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Ann Stoyk, PHARMD
• Shi'Terriona R Straham
• Steffeni Lynn Straub, AGACNP-BC
• Larry D. Stuckey, CRNA
• Kevin A Studley, LLPC
• Kristina Lynn Sturgill, D.O.
• Melissa Anne Stutler, MSW
• Nina Nicole Mendoza Suan, MD
• Jason Sean Sugden, NP
• Iman Suleiman, MD

• Dental Hygienist in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.