NPIMap

Organization Active NPI

Port City Dental

  • General Practice Dentistry
  • Muskegon, MI
National Provider Identifier
1043741424
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PORT CITY DENTAL
Practice address
1848 E Sherman Blvd
Suite C
Muskegon, MI 49444-1963
Phone
(231) 737-7745
Fax
(231) 737-3296
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Teresa Beer
Title
Insurance Specialist
Phone
(231) 865-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MI Primary

Addresses

Primary practice location

1848 E Sherman Blvd
Suite C
Muskegon, MI 49444-1963

Mailing address

1848 E Sherman Blvd
Suite C
Muskegon, MI 49444-1963
Phone (231) 737-7745

National Provider Directory

National Provider Directory

Locations

1848 E Sherman Blvd
Ste C
Muskegon, MI 49444
Phone (231) 674-4273

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1043741424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 E SHERMAN BLVD",
            "address_2": "SUITE C",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441963",
            "telephone_number": "231-737-7745",
            "fax_number": "231-737-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 E SHERMAN BLVD",
            "address_2": "SUITE C",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441963",
            "telephone_number": "231-737-7745",
            "fax_number": "231-737-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "231-865-6945"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.