DR. ROBERT CRAIG PAYNE (NPI# 1164462198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164462198 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CRAIG PAYNE |
| Credential | D.D.S. |
| Practice Address |
1179 E Paris Ave Se Suite 130 Grand Rapids MI 49546-3682 |
| Mailing Address |
2093 Stickley Dr Se Grand Rapids MI 49546-6490 |
| Practice Telephone | 6169429840 |
| Practice Fax Number | 6169420170 |
| Mailing Telephone | 6169495185 |
| Mailing Fax Number | 6169420170 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10354 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720513716 | Robert Payne | Student in an Organized Health Care Education/Training Program | 22802 Ordonez Dr, Salinas, CA 93908-1034 | 2017-04-27 |
| 1588034276 | Robert Payne | Behavioral Analyst | 30559 Fairfax St, Please Select Unit Type, Southfield, MI 48076 | 2015-10-07 |
| 1992118186 | Robert Payne | Pharmacist | 4759 Fair Oaks Blvd, Carmichael, CA 95608-6018 | 2014-06-05 |
| 1710317086 | Robert Mark Payne | Nurse Practitioner | 8255 College Pkwy Ste 200, Fort Myers, FL 33919-5119 | 2013-11-22 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1487772653 | Robert Wayne Payne | Dentist | 1140 Goodlette Rd N, Naples, FL 34102-5451 | 2007-03-27 |
| 1235117193 | Robert M Payne | Dentist | 229 W Main St, Ionia, MI 48846-1638 | 2006-01-02 |
| 1275196867 | Robert Payne | Pharmacist | 603 Columbia Hwy, Greensburg, KY 42743-1115 | 2019-04-18 |
| 1730634312 | Robert Dale Payne | Physical Therapist | 2350 Limestone Pkwy, Gainesville, GA 30501-2013 | 2016-08-24 |
| 1114379435 | Robert A Payne | Registered Nurse | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2016-07-11 |
| Street Address |
1179 E PARIS AVE SE SUITE 130 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772442 | William J Walters | Psychiatry & Neurology | 1179 E Paris Ave Se, Suite 220, Grand Rapids, MI 49546-3682 | 2005-07-07 |
| 1669864732 | Brett Kingma | Dentist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2015-02-26 |
| 1144505058 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 1179 E Paris Ave Se, Ste. 220, Grand Rapids, MI 49546-8371 | 2011-10-12 |
| 1952604878 | Spectrum Health Primary Care Partners | Colon & Rectal Surgery | 1179 E Paris Ave Se, Ste. 200, Grand Rapids, MI 49546-8371 | 2010-12-15 |
| 1821390097 | Scott M Mahar | Audiologist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2010-11-22 |
| 1609188531 | Grady S Randall | Dentist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2010-07-08 |
| 1720250145 | Karen Lynn Meyerson | Nurse Practitioner | 1179 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-8371 | 2008-03-26 |
| 1407066996 | Andrew M. Behler | Otolaryngology | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-05-23 |
| 1457563959 | James Anthony Spoto | Otolaryngology | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-05-04 |
| 1962627802 | Mark Marshall Millar | Allergy & Immunology | 1179 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-8371 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487128120 | Dental Group Associates PC | Dentist | 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 | 2019-01-16 |
| 1184194433 | Pediatric Dental Specialists of West Michigan | Dentist | 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 | 2018-11-29 |
| 1811465990 | Kingma Pediatric Dentistry Pllc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2018-11-07 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1255792636 | Christopher Powell | Dentist | 1750 Grand Ridge Ct Ne Ste 202, Grand Rapids, MI 49525 | 2016-03-14 |
| 1467714956 | Daniel O'callaghan | Dentist | 1559 68th St Se, Suite A, Grand Rapids, MI 49508-7010 | 2012-06-12 |
| 1497860191 | Aimee Christine Valleau-hier | Dentist | 2000 43rd St Se, Suite B, Grand Rapids, MI 49508-8700 | 2006-08-20 |
| 1386683530 | Amy Kay Deyoung | Dentist | 3297 Eagle Run Dr Ne, Grand Rapids, MI 49525-7050 | 2006-06-05 |
| 1386696672 | Gary Alvin Cook | Dentist | 2017 Eastcastle Se, Suite A, Grand Rapids, MI 49508 | 2006-05-16 |
| 1710540398 | Mitten Kids Dentistry Cascade Plc | Dentist | 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 | 2019-04-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. ROBERT CRAIG PAYNE.
| 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.