Patrick J. Condit DDS,PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PATRICK J. CONDIT DDS,PLLC

Practice address

4270 Plainfield Ave NE Ste D
Grand Rapids, MI 49525-1603

Phone

(616) 361-9497

Fax

(616) 724-6434

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Patrick James Condit, DDSNPI 1700171774

Title

Member

Phone

(616) 361-9497

Specialties & licenses 1

Addresses

Other names 1

• Condit Family Dentistry Doing business as

Locations

Practitioners 1

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

• Patrick James Condit, D.D.S.

  • Dentist
  • Grand Rapids, MI
  • NPI 1700171774
  NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1073240891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064766",
            "telephone_number": "616-560-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 PLAINFIELD AVE NE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251603",
            "telephone_number": "616-361-9497",
            "fax_number": "616-724-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. CONDIT DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "CONDIT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-361-9497",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Condit Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patient One Care, PLLC
• Darin Patmon, MD
• Sanjay Earl Patra, M.D.
• Patricia Bolea and Associates
• Patricia Hickey MSW
• Cierra L Patrick-Tyler, LPC
• Elizabeth McGough Patrick, RPH
• Kathleen Patrick
• Samantha Patrick
• Sarah Patrick

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.