Organization Active NPI

Kulpa & Kulpa DDS

  • Dentist
  • Washington, MI
National Provider Identifier
1992785828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901010615 Issued in MI
Legal business name
KULPA & KULPA DDS
Practice address
64845 Vandyke
Washington, MI 48095
Phone
(586) 752-6596
Fax
(586) 752-5471
NPI assigned
Jan 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James David Kulpa, DDS
Title
President
Phone
(586) 752-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901010615 MI Primary

Addresses

Primary practice location

64845 Vandyke
Washington, MI 48095

Mailing address

64845 Vandyke
Washington, MI 48095
Phone (586) 752-6596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992785828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64845 VANDYKE",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-752-6596",
            "fax_number": "586-752-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64845 VANDYKE",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-752-6596",
            "fax_number": "586-752-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULPA & KULPA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULPA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-752-6596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.