Disha Kinra, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901017781 Issued in MI

Practice address

7743 Grand River Ave Ste 202
Great Expressions Dental Centers
Brighton, MI 48114

Phone

(810) 229-0303

Fax

(810) 229-7361

NPI assigned

Jun 18, 2008

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

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

Practice roles

Networks

• Freedom Health HMO Network

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.

• Great Expressions Dental Centers P C

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1124164926
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1982865432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE STE 311",
            "address_2": "GREAT EXPRESSIONS DENTAL CENTERS",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-203-1119",
            "fax_number": "248-723-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 GRAND RIVER AVE STE 202",
            "address_2": "GREAT EXPRESSIONS DENTAL CENTERS",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-229-0303",
            "fax_number": "810-229-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINRA",
        "first_name": "DISHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Jane Kim, M.D.,
• Hoon Kim, DDS
• Rachel Lynn Kimball, RN
• Anne King-Hudson
• Cynthia Jo King
• Kristin Kinstler, MD, PHD
• Kiara Kirkland
• Celine Mary Klecker, LPC
• Melanie Klenk, CNP
• Lisa Marie Klink, R.N.

• Dentist in Brighton, MI
• Providers in Brighton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.