Active NPI
Durham & Mehling DDS PC
- Dentist
- Grand Rapids, MI
National Provider Identifier
1023097474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DURHAM & MEHLING DDS PC
- Practice address
- 2700 5 Mile NE
Ste 201
Grand Rapids, MI 49525-1797 - Phone
- (616) 361-1727
- Fax
- (616) 361-1455
- NPI assigned
- Jan 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Vincent Mehling, DDS
- Title
- Vice President
- Phone
- (616) 304-5853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MI | Primary |
Addresses
Primary practice location
2700 5 Mile NE
Ste 201
Grand Rapids, MI 49525-1797
Mailing address
2700 5 Mile NE
Ste 201
Grand Rapids, MI 49525-1797
Phone (616) 361-1727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2700 5 Mile Rd NE
Ste 201
Grand Rapids, MI 49525
Phone (616) 361-1727
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Grand Rapids, MI
- NPI 1184618423
-
- General Practice Dentistry
- Grand Rapids, MI
- NPI 1003960436
-
- General Practice Dentistry
- Grand Rapids, MI
- NPI 1609920040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451952000000",
"number": "1023097474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 5 MILE NE",
"address_2": "STE 201",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495251797",
"telephone_number": "616-361-1727",
"fax_number": "616-361-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 5 MILE NE",
"address_2": "STE 201",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495251797",
"telephone_number": "616-361-1727",
"fax_number": "616-361-1455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURHAM & MEHLING DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-13",
"last_updated": "2016-01-05",
"status": "A",
"authorized_official_last_name": "MEHLING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "616-304-5853",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.