Organization Active NPI

Killinger & Vander Beek

  • General Practice Dentistry
  • Waterford, MI
National Provider Identifier
1982626966
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01367 Issued in MI
Legal business name
KILLINGER & VANDER BEEK
Practice address
998 Crescent Lake Rd
Waterford, MI 48327-2594
Phone
(248) 682-9653
NPI assigned
Jul 25, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Michael Vander Beek, D.D.S.NPI 1871517391
Title
Dentist
Phone
(248) 682-9653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 01367 MI Primary

Addresses

Primary practice location

998 Crescent Lake Rd
Waterford, MI 48327-2594

Mailing address

998 Crescent Lake Rd
Waterford, MI 48327-2594
Phone (248) 682-9653

National Provider Directory

National Provider Directory

Locations

998 Crescent Lake Rd
Waterford, MI 48327
Phone (248) 682-9331

Practitioners & affiliated clinicians

Practitioners 2

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1982626966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CRESCENT LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272594",
            "telephone_number": "248-682-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CRESCENT LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272594",
            "telephone_number": "248-682-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLINGER & VANDER BEEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "VANDER BEEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-682-9653",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "01367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.