Organization Active NPI

Ogemaw Family Dentistry PLLC

  • Dental Clinic/Center
  • West Branch, MI
National Provider Identifier
1033963111
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OGEMAW FAMILY DENTISTRY PLLC
Practice address
203 N 5TH St
West Branch, MI 48661-1005
Phone
(989) 312-3110
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Mary Bachelder, DDSNPI 1881328763
Title
Dentist
Phone
(517) 898-7522

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

203 N 5TH St
West Branch, MI 48661-1005

Mailing address

203 N 5TH St
West Branch, MI 48661-1005
Phone (989) 312-3110

Other identifiers 1

IdentifierTypeStateIssuer
1881328763MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1033963111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N 5TH ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611005",
            "telephone_number": "989-312-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N 5TH ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611005",
            "telephone_number": "989-312-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGEMAW FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BACHELDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-898-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881328763",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.