Portable Smiles Consulting LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PORTABLE SMILES CONSULTING LLC

Practice address

41962 Trent CT
Canton, MI 48188-5208

Phone

(734) 260-2601

NPI assigned

Apr 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sterling Cheeks

Title

Owner

Phone

(734) 260-2601

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1023404068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41962 TRENT CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885208",
            "telephone_number": "734-260-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41962 TRENT CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885208",
            "telephone_number": "734-260-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE SMILES CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "STERLING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-260-2601"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Edison Ponder, LMSW, CCS, CADC
• Maria Ponomareva
• Jessica Poole
• Susan Lynne Popek-Boeve, CTRS
• Theresa Poppe, MD
• Portable Smiles Mobile Inc
• Inez Porter, LLMSW, MSW
• Danielle Patrice Potter-Bodenlos, D.C.
• Jessie L Potter, DC
• Robert Edward Potter Jr., DC

• Dentist in Canton, MI
• Providers in Canton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.