OrganizationActive
Kingma Pediatric Dentistry PLLC
NPI 1811465990 · Pediatric Dentistry · Grand Rapids, MI
Kingma Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Grand Rapids, MI (NPI 1811465990).
Provider details
- NPI number
- 1811465990
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Merren, Office Manager(616) 551-9701
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1179 E Paris Ave Se Ste 130
Grand Rapids, MI 49546-3682
Phone: (616) 942-9840
Fax: (616) 942-0170
Street-level locationGet directions
Mailing address
1179 E Paris Ave Se Ste 130
Grand Rapids, MI 49546-3682
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2018-11-07
Frequently asked questions
- What is Kingma Pediatric Dentistry PLLC's NPI number?
- Kingma Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1811465990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingma Pediatric Dentistry PLLC?
- Kingma Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kingma Pediatric Dentistry PLLC located?
- Kingma Pediatric Dentistry PLLC's practice location on file with NPPES is 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682.
- What is Kingma Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kingma Pediatric Dentistry PLLC is (616) 942-9840.
- Who is the authorized official for Kingma Pediatric Dentistry PLLC?
- The authorized official listed on Kingma Pediatric Dentistry PLLC's NPPES record is Amanda Merren, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingma Pediatric Dentistry PLLC's NPI active?
- Yes — Kingma Pediatric Dentistry PLLC's NPI (1811465990) is active in the NPPES registry as of the last update on 2018-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.