Taryne Marie Kavanagh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022376 Issued in MI

Practice address

21635 Ryan Rd
Warren, MI 48091-2788

Phone

(586) 757-7540

NPI assigned

Jul 4, 2017

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

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1962923557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 WOODLAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733878",
            "telephone_number": "810-824-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21635 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912788",
            "telephone_number": "586-757-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "TARYNE",
        "middle_name": "MARIE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Katimi
• Shurouk Kattan Rahmani, MD
• Baruch Katz, M.D.
• Heather Lynn Kauffman, PHARMACIST
• Joseph William Kaufman, M.D.
• Kenneth Darryl Kawa, CRNA
• Kay Chiropractic Clinic, P.C.
• Kay Chiropractic, P.C.
• Richard Allan Kay, D.C.
• Kay's Compassionate Care Services,LLC

• General Practice Dentistry in Warren, MI
• Providers in Warren, 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 Oct 1, 2021; 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.