Cherry Hill Village Family Medicine
NPI 1629348792 · Family Medicine Physician · Canton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cherry Hill Village Family Medicine is a Family Medicine Physician organization in Canton, MI (NPI 1629348792).
Provider details
- NPI number
- 1629348792
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Grimm, Member(734) 645-9228
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Village Doctor at Cherry Hill
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-07-05
Frequently asked questions
- What is Cherry Hill Village Family Medicine's NPI number?
- Cherry Hill Village Family Medicine's National Provider Identifier (NPI) is 1629348792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherry Hill Village Family Medicine?
- Cherry Hill Village Family Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cherry Hill Village Family Medicine located?
- Cherry Hill Village Family Medicine's practice location on file with NPPES is 50439 Independence St, Canton, MI 48188-6735.
- What is Cherry Hill Village Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Cherry Hill Village Family Medicine is (734) 879-1068.
- Does Cherry Hill Village Family Medicine accept Medicare?
- Cherry Hill Village Family Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cherry Hill Village Family Medicine?
- The authorized official listed on Cherry Hill Village Family Medicine's NPPES record is Kenneth Grimm, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherry Hill Village Family Medicine's NPI active?
- Yes — Cherry Hill Village Family Medicine's NPI (1629348792) is active in the NPPES registry as of the last update on 2012-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.