Mitus-Rosendall D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14130 Issued in MI

Legal business name

MITUS-ROSENDALL D.D.S.

Practice address

4829 E Beltline Ave NE
Grand Rapids, MI 49525-9747

Phone

(616) 363-9277

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Robin Marie Sandretto

Title

Office Manager

Phone

(616) 363-9277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1063689362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-363-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITUS-ROSENDALL D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SANDRETTO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-363-9277"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohin Mittal, M.D.
• Silas Mittelstaedt
• Mitten Kids Dentistry Cascade PLC
• Mitten Kids Orthodontics PLC
• Mitten State Pediatric Therapy LLC
• Ariel Tajour Mitz
• Miway Home Care
• Abbey Mix
• Taylor Marie Mize, LLPC, LLMFT
• Gregory Michael Mlacker, M.D.

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 May 15, 2008; 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.