Keith a Combs DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

158150 Issued in MI

Legal business name

KEITH A COMBS DDS PC

Doing business as

Family Dental Assoc

Practice address

2411 Byron Station Drive
Byron Center, MI 49315-8002

Phone

(616) 878-1587

Fax

(616) 878-4730

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith Alan Combs, DDSNPI 1932303773

Title

Owner President

Phone

(616) 878-1587

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Assoc Doing business as

Locations

Practitioners 1

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

• Keith A Combs, DDS

  • General Practice Dentistry
  • Byron Center, MI
  • NPI 1932303773
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932269248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 BYRON STATION DRIVE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158002",
            "telephone_number": "616-878-1587",
            "fax_number": "616-878-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 BYRON STATION DRIVE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158002",
            "telephone_number": "616-878-1587",
            "fax_number": "616-878-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A COMBS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "616-878-1587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "158150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Johnson, DNP
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• Sallini Kalachandran, MD
• Cody Kalahar
• Lynh Kayser
• Matthew Gene Kenney, LPC
• Ramona Kiley
• David King, MD
• Ann M Knapp, MD
• David Kochmann

• General Practice Dentistry in Byron Center, MI
• Providers in Byron Center, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.