Organization Active NPI

Doctors K&R HL PLLC

Doing business as Houghton Lake Dental Associates

  • Dental Clinic/Center
  • Houghton Lake, MI
National Provider Identifier
1942950894
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DOCTORS K&R HL PLLC
Doing business as
Houghton Lake Dental Associates
Practice address
3185 W Houghton Lake Dr
Houghton Lake, MI 48629-8242
Phone
(313) 673-6767
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Abraham Khanafer, DDSNPI 1568990240
Title
Owner
Phone
(313) 673-6767

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3185 W Houghton Lake Dr
Houghton Lake, MI 48629-8242

Mailing address

51263 Plymouth Ridge Dr
Plymouth, MI 48170-6392
Phone (313) 673-6767

Other names 1

  • Houghton Lake Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3185 W Houghton Lake Dr
Houghton Lake, MI 48629
Phone (989) 366-9621

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1942950894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51263 PLYMOUTH RIDGE DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706392",
            "telephone_number": "313-673-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 W HOUGHTON LAKE DR",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486298242",
            "telephone_number": "313-673-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS K&R HL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "KHANAFER",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-673-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houghton Lake Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houghton Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.