Active NPI
Ogemaw Family Dentistry PLLC
- Dental Clinic/Center
- West Branch, MI
National Provider Identifier
1033963111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2024
- 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. Mary Bachelder, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881328763 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Roscommon, MI
- NPI 1881328763
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
- Ogemaw Anesthesia Staffing Services LLC
- Ogemaw Chiropractic Clinic (Stephanie Witte-Mason DC)
- Ogemaw Commission on Aging
- Ogemaw County Emergency Medical Services Authority (Ogemaw County EMS Authority)
- Ogemaw Eye Institute PC
- Ogemaw Hills Community of Caring
- Open Window Counseling
- Orthotech Orthopedic Appliance LLC
- Crystal Marie Owens, MA, LPC
- Tamara Parsons
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.