Northway Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12024 Issued in MI

Legal business name

NORTHWAY FAMILY DENTISTRY

Practice address

3050 Ivanrest Ave SW
Grandville, MI 49418-1400

Phone

(616) 531-7480

Fax

(616) 531-4552

NPI assigned

Jan 6, 2015

Last updated

Jan 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Frank Northway, D.D.S.NPI 1285761718

Title

Owner

Phone

(616) 531-7480

Specialties & licenses 1

Addresses

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.

• Thomas Northway, D.D.S.

  • General Practice Dentistry
  • Grandville, MI
  • NPI 1285761718
  Authorized official Same address or phone

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1063800563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 IVANREST AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181400",
            "telephone_number": "616-531-7480",
            "fax_number": "616-531-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 IVANREST AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181400",
            "telephone_number": "616-531-7480",
            "fax_number": "616-531-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWAY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "NORTHWAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-531-7480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Noordhoek
• April S Norcross, LLC
• Holly Ann Normington, LPC
• Vicky Lynn Norris, DO
• Northland Hearing Centers, Inc.
• Thomas Northway, D.D.S.
• Emma Grace Norton, RDH
• Madison Ann Norton
• Jessica Lynn Nostrant, PHARMD
• Rita Lynn Nykamp, COTA/L

• General Practice Dentistry in Grandville, MI
• Providers in Grandville, 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 Jan 6, 2015; 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.