NPPES file of Aug 9, 2026

Kenneth J. McCormick, D.D.S.

General Practice Dentistry · Marine City, MI

Kenneth J. McCormick, D.D.S. is a general practice dentistry with a practice address in Marine City, Michigan, and NPI 1710954623, issued on Mar 1, 2006. Check the license (Michigan 12658, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1710954623
Name
Kenneth J. McCormick
Credential
D.D.S.
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
12658 MI
Self-reported in NPPES; status is on the state search
Practice location
540 S Parker St, Marine City, MI 48039
Phone
(810) 765-1440
Enumerated
Mar 1, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(810) 765-3752
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 540 S Parker St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tammy Eakins, OTROccupational Therapist1831392695
  2. Amit Gupta, PTPhysical Therapist1356572853
  3. Michelle MarleyPhysical Therapy Assistant1467651794
  4. Lucio Persichetti, D.D.SGeneral Practice Dentistry1215341334
  5. Lois PierskallaPhysical Therapist1265631816

Verify Kenneth J. McCormick in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 12658
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Kenneth J. McCormick among 4,088 general practice dentistry records in Michigan

Kenneth J. McCormick, D.D.S. is one of 4,088 general practice dentistry records with a practice address in Michigan. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 63% newer
  • In a Medicare fileNo · 61% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2007 · 74% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

8 general practice dentistry records list a practice address in Marine City

They are 8 of the 63 NPPES records with a practice address in Marine City, and 4,088 general practice dentistry records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Barry Beauchamp, D.D.S.Marine City, MI 480391245254432
  2. Alixandria Feldpausch, DDSMarine City, MI 480391932717626
  3. Chester Gauss, DDSMarine City, MI 480391558371187
  4. Sandra Gschwind, DDSMarine City, MI 480391851301402
  5. Samantha Hinsenkamp, DMDMarine City, MI 480391730819467
  6. Dipa Patel, D.D.SMarine City, MI 480391578970158
  7. Lucio Persichetti, D.D.SMarine City, MI 480391215341334
  8. Michael Aiello, D.D.S.Clinton Twp, MI 480381609993773

Common questions

What is Kenneth J. McCormick, D.D.S.'s NPI number?

Kenneth J. McCormick, D.D.S.'s National Provider Identifier (NPI) is 1710954623, issued on Mar 1, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth J. McCormick, D.D.S. located?

The NPPES record lists a practice address at 540 S Parker St, Marine City, MI, 48039. Phone: (810) 765-1440. Providers update this record themselves, so call before visiting.

How can I verify Kenneth J. McCormick, D.D.S.'s license?

NPPES lists Michigan license number 12658, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.