KALAMAZOO PEDIATRIC DENTISTRY (NPI# 1295146413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295146413 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO PEDIATRIC DENTISTRY |
| Practice Address |
1900 Whites Rd Kalamazoo MI 49008-2872 |
| Practice Telephone | 2693435386 |
| Practice Fax Number | 2693430913 |
| Mailing Telephone | 2693435386 |
| Mailing Fax Number | 2693430913 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. RYAN MICHAEL BASLER (OWNER/DENTIST) |
| Authorized Official Telephone | 2693435386 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
1900 WHITES RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184692063 | Michael D Comar | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008-2895 | 2006-03-08 |
| 1861678906 | John Lewis Sinclair Jr. | Dentist | 1900 Whites Rd, Suite 4, Kalamazoo, MI 49008-2872 | 2008-01-19 |
| 1811173859 | John Lewis Sinclair Sr. | Dentist | 1900 Whites Rd, Suite 4, Kalamazoo, MI 49008-2872 | 2008-01-19 |
| 1275721532 | Lynn Hyland Dds PCs PC | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008-2872 | 2007-10-11 |
| 1992730063 | Comar & Comar PC | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008-2895 | 2006-07-11 |
| 1851354120 | Thomas Lee Owen | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008 | 2006-04-08 |
| 1013976562 | Lynn C Hyland | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008 | 2006-03-22 |
| 1245208073 | Terence R Comar | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008-2895 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| 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 |
|---|---|---|---|---|
| 1851354120 | Thomas Lee Owen | Dentist | 1900 Whites Rd, Kalamazoo, MI 49008 | 2006-04-08 |
| 1720081219 | Lisandra Soto Casillas | Dentist | 3299 Gull Rd, Room G-5, Kchcsd- Dental Clinic, Kalamazoo, MI 49048-1281 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717558 | Discover Smiles Pediatric Dentistry | Dentist | 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 | 2020-10-16 |
| 1740898873 | Megan E Stowers Dds Ms Plc | Dentist | 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 | 2020-07-15 |
| 1447884069 | Jocelyn M. Robelli Dds, Ms, Pllc | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-02-24 |
| 1457914038 | Mitten Kids Dentistry Caledonia Plc | Dentist | 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 | 2019-04-18 |
| 1780143982 | Childrens Dental Specialists of Hazel Park Pllc | Dentist | 22241 John R Rd, Hazel Park, MI 48030-1716 | 2019-03-18 |
| 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 |
| 1407322548 | Great Lakes Bay Pediatric Dentistry, Plc | Dentist | 5605 Colony Dr N Ste 2, Saginaw, MI 48638-7187 | 2018-10-16 |
| 1063987725 | Little Red Pediatric Dentistry, Plc | Dentist | 12723 N Bellwood Dr Ste 20, Holland, MI 49424-7275 | 2018-10-09 |
| 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.