NPIMap

Organization Active NPI

Ferris State University Dental Hygiene Clinic

  • Dentist
  • Big Rapids, MI
National Provider Identifier
1053405258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9436 Issued in MI
Legal business name
FERRIS STATE UNIVERSITY DENTAL HYGIENE CLINIC
Practice address
200 Ferris Dr
VFS 202
Big Rapids, MI 49307-2740
Phone
(231) 591-2260
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard P Duffett
Title
VP of Admin & Finance
Phone
(231) 591-2150

National Provider Directory

National Provider Directory
Tax ID family
Ferris State Col of Opt9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Ferris Dr
#202
Big Rapids, MI 49307
Phone (231) 591-2260

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9436 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Ferris Dr
VFS 202
Big Rapids, MI 49307-2740

Mailing address

200 Ferris Dr
VFS 202
Big Rapids, MI 49307-2740
Phone (231) 591-2260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053405258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FERRIS DR",
            "address_2": "VFS 202",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072740",
            "telephone_number": "231-591-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FERRIS DR",
            "address_2": "VFS 202",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072740",
            "telephone_number": "231-591-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRIS STATE UNIVERSITY DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUFFETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP OF ADMIN & FINANCE",
        "authorized_official_telephone_number": "231-591-2150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "9436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.