Organization Active NPI

Kristina Palmer DDS PLLC

  • Dental Clinic/Center
  • Lansing, MI
National Provider Identifier
1992302491
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KRISTINA PALMER DDS PLLC
Practice address
3333 S. Pennsylvania Ave
200
Lansing, MI 48910-4795
Phone
(517) 393-4900
Fax
(517) 580-5133
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Dr. Kristina Lynn PalmerNPI 1881814275
Title
DDS
Phone
(517) 393-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3333 S. Pennsylvania Ave
200
Lansing, MI 48910-4795

Mailing address

3333 S. Pennsylvania Ave
200
Lansing, MI 48910-4795
Phone (517) 393-4900

Other identifiers 1

IdentifierTypeStateIssuer
2901019178OtherMIDENTAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@kristinapalmerdds.com Direct

National Provider Directory

National Provider Directory

Locations

3333 S Pennsylvania Ave
Ste 200
Lansing, MI 48910
Phone (517) 393-4900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1992302491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S. PENNSYLVANIA AVE",
            "address_2": "200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104795",
            "telephone_number": "517-393-4900",
            "fax_number": "517-580-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S. PENNSYLVANIA AVE",
            "address_2": "200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104795",
            "telephone_number": "517-393-4900",
            "fax_number": "517-580-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA PALMER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "517-393-4900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "2901019178",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kristinapalmerdds.com",
            "affiliation": "N",
            "endpointDescription": "info@kristinapalmerdds.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3333 S Pennsylvania Ave Ste 200",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489104795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.