Dentistry for Northern Michigan PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRY FOR NORTHERN MICHIGAN PLLC

Practice address

932 E Eighth St
Traverse City, MI 49686-2750

Phone

(231) 947-8586

Fax

(231) 947-8115

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Paul Sternhagen, DDSNPI 1114906328

Title

Owner/Dentist

Phone

(231) 735-3624

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paul G. Sternhagen, DDS, FAGD, FDOCS Other name

Locations

Practitioners 1

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

• Paul Guy Sternhagen, DDS, FAGD, FDOCS

  • Dentist
  • Traverse City, MI
  • NPI 1114906328
  NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1053920132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862750",
            "telephone_number": "231-947-8586",
            "fax_number": "231-947-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862750",
            "telephone_number": "231-947-8586",
            "fax_number": "231-947-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR NORTHERN MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "STERNHAGEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "231-735-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114906328",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul G. Sternhagen, DDS, FAGD, FDOCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bruce William Dempsey, MA, LPC
• Robyn Denison, PT, DPT
• Dennis E. Pace, O.D., PLC
• Jeral Keilsha Dennis, D.C.
• Katherine Denoyer
• Isabelle Anne Depa, RN
• Alisha Deponio, AGACNP-BC
• Derek Rice DDS PLLC
• Heather L Dermyer, PH.D.
• Rebecca Ann Derocha, MA, LPC, CAAC-R

• General Practice Dentistry in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.