Donald Michael Konen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D142110 Issued in MI

Practice address

2015 Bridge St NW
Grand Rapids, MI 49504-4783

Phone

(616) 453-5448

Fax

(616) 453-5895

NPI assigned

Jan 24, 2007

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952456832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BRIDGE ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044783",
            "telephone_number": "616-453-5448",
            "fax_number": "616-453-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BRIDGE ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044783",
            "telephone_number": "616-453-5448",
            "fax_number": "616-453-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONEN",
        "first_name": "DONALD",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "D142110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Robert Komor, PSY.D.
• Ewa D Komorowska-Timek, MD
• Alexis Morgan Kompier, LMSW
• Quinn Konarska, MA, LMFT
• Loukas Nicholas Kondyles, LIMITED LICENSE COUN
• Soumeeka Koneru, MD
• Allison Koning, DPT
• Joannah Koning
• Macenzie Jordyn Koning, AU.D.
• Rachel Koning, LMSW

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.