S. RANGRASS DDS PC
NPI 1639814684
Clinic/Center in Kalamazoo, MI

Active since May 04, 2022
1719 E G AVE, KALAMAZOO, MI 49004(269) 382-5327(269) 382-2129 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, May 4, 2022 (2 updates tracked since 2022).

About S. Rangrass Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S. RANGRASS DDS PC (NPI 1639814684) is a healthcare organization registered as a clinic/center in Kalamazoo, Michigan and active in the NPI registry since May 2022. The organization lists Kelly Secord, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639814684
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameS. RANGRASS DDS PC
Location Address1719 E G AVEKalamazoo, MI 49004-1703
Mailing Address1719 E G AveKalamazoo, MI 49004-1703 · (269) 382-5327 · Fax (269) 382-2129
Fax(269) 382-2129
Organization SubpartNo
Authorized OfficialKelly SecordOffice Manager · (269) 929-1555
Enumeration DateMay 4, 2022
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1639814684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1719 E G AVE, Kalamazoo, MI 49004

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1719 E G AVE
KALAMAZOO, MI 49004
Dentist (General Practice)
1719 E G AVE
KALAMAZOO, MI 49004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S. Rangrass Dds PC's NPI number?

The NPI number for S. Rangrass Dds PC is 1639814684. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is S. Rangrass Dds PC located?

S. Rangrass Dds PC is located at 1719 E G Ave, Kalamazoo, MI 49004. The listed phone number is (269) 382-5327.

What is S. Rangrass Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for S. Rangrass Dds PC was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.