Individual provider Active NPI

Kristen Gable

  • Dentist
  • Battle Creek, MI
National Provider Identifier
1972956589
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021890 Issued in MI
Practice address
101 N 20TH St
Battle Creek, MI 49015-1701
Phone
(269) 963-1746
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021890 MI Primary

Addresses

Primary practice location

101 N 20TH St
Battle Creek, MI 49015-1701

Mailing address

101 N 20TH St
Battle Creek, MI 49015-1701
Phone (269) 963-1746

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190410002446 MI Order and Referring Only - DentistPractitioner - Dentist 0244571750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021890MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Gable, DMD PLC CurrentSince Aug 16, 2020 Accepting new patients

Locations

101 N 20th St
Battle Creek, MI 49015
Phone (269) 963-1746

Interoperability endpoints

  • Direct secure messaging: kristen.gable.p1@direct.gracehealthmi.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1972956589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 20TH ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490151701",
            "telephone_number": "269-963-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 20TH ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490151701",
            "telephone_number": "269-963-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABLE",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.