Richard G Kinkelaar DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30011416 Issued in OH

Legal business name

RICHARD G KINKELAAR DDS INC

Practice address

3865 Rocky River Dr
Cleveland, OH 44111-4114

Phone

(216) 671-0474

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Glenn Kinkelaar, DDS

Title

President Owner

Phone

(216) 671-0474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962438226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114114",
            "telephone_number": "216-671-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114114",
            "telephone_number": "216-671-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G KINKELAAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINKELAAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "216-671-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30011416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Rich, MD
• David Rich, PA-C
• Matthew Chad Rich, LISW
• Todd H Rich, MD
• Nicole Richani
• Kayla Richard
• Reshonda Richard
• Brandy Marie Richards, CNP
• Caryl M Richards, PA
• Danielle Frances Richards, DO

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• 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.