NPIMap

Organization Active NPI

Garvin Family Dental Care, PC

  • Dental Clinic/Center
  • Byron Center, MI
National Provider Identifier
1083223556
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GARVIN FAMILY DENTAL CARE, PC
Practice address
1420 84TH St SW
Byron Center, MI 49315-9344
Phone
(616) 878-1514
Fax
(616) 878-4014
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Phillip Andrew Garvin, DDSNPI 1497765135
Title
Owner/President
Phone
(616) 878-1514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1420 84TH St SW
Byron Center, MI 49315-9344

Mailing address

1420 84TH St SW
Byron Center, MI 49315-9344
Phone (616) 878-1514

Other identifiers 1

IdentifierTypeStateIssuer
VS0014967MedicaidMI

Other names 1

  • Phillip A. Garvin DDS, PC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1083223556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159344",
            "telephone_number": "616-878-1514",
            "fax_number": "616-878-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159344",
            "telephone_number": "616-878-1514",
            "fax_number": "616-878-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVIN FAMILY DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-878-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0014967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip A. Garvin DDS, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.