KALAMAZOO VALLEY DENTAL CARE PC (NPI# 1265765580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765580 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO VALLEY DENTAL CARE PC |
| Practice Address |
1141 S Rose St Kalamazoo MI 49001-2652 |
| Practice Telephone | 2693885832 |
| Practice Fax Number | 2693884599 |
| Mailing Telephone | 2693885832 |
| Mailing Fax Number | 2693884599 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | DR. CARMY GABRIEL MICHAEL (OWNER) |
| Authorized Official Telephone | 2693885832 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2901019040 | MI | Ambulatory Health Care Facilities |
| Street Address |
1141 S ROSE ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023085784 | Hugo K Roesler | Otolaryngology | 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 | 2006-03-01 |
| 1174755284 | Hugo K. Roesler,m.d., P.C. | Otolaryngology | 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 | 2009-08-23 |
| 1053516476 | Lance Webley | Counselor | 1141 S Rose St, Suite C, 2nd Flr., Kalamazoo, MI 49001-2652 | 2007-06-16 |
| 1043321482 | Rahaf Kanawati | Dentist | 1141 S Rose St, Kalamazoo, MI 49001-2652 | 2006-08-31 |
| 1932176690 | Mary L Roesler | Audiologist | 1141 S Rose St, Kalamazoo, MI 49001-2652 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366561 | Katherine Khaghany Duffy Plc | Clinic/Center | 465 S Drake Rd, Kalamazoo, MI 49009-1216 | 2020-08-12 |
| 1306461249 | John J Spurr Dds Plc | Clinic/Center | 1624 S Drake Rd, Kalamazoo, MI 49006-5780 | 2020-06-16 |
| 1285268052 | B Curtis Neal Dds Plc | Clinic/Center | 3321 E Main St, Kalamazoo, MI 49048-2212 | 2020-03-02 |
| 1891964656 | Paul S. Busch D.d.s., P.C. | Clinic/Center | 530 Nichols Rd, Kalamazoo, MI 49006-2946 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.