Pointe Family Dentistry-Shelby PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

POINTE FAMILY DENTISTRY-SHELBY PLLC

Practice address

50505 Schoenherr Rd
Suite 170
Shelby TWP, MI 48315

Phone

(586) 803-8300

Fax

(586) 803-8305

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul Steven Van Walleghem, D.D.S, FAGDNPI 1841416856

Title

Dentist-Owner

Phone

(586) 803-8300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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

• Paul S Vanwalleghem, DDS

  • General Practice Dentistry
  • Shelby Township, MI
  • NPI 1841416856
  Medicare reassignment NPD Authorized official
• Stephanie Allison Boyle, DDS

  • General Practice Dentistry
  • Algonac, MI
  • NPI 1134570344
  NPD (past)
• Kirsten J Fanelli, DMD

  • Dentist
  • Shelby Township, MI
  • NPI 1558845123
  NPD (past)
• Nisa Goshtasbi, DDS

  • General Practice Dentistry
  • Shelby Township, MI
  • NPI 1396238887
  NPD (past)
• Richard G. Raad, DDS

  • General Practice Dentistry
  • Saint Clair Shores, MI
  • NPI 1053310730
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1083947162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 170",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-803-8300",
            "fax_number": "586-803-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 170",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-803-8300",
            "fax_number": "586-803-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE FAMILY DENTISTRY-SHELBY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "VAN WALLEGHEM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "586-803-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmascript of Shelby Inc
• Patricia Anne Pich, PH.D., LPC
• Sarah Goswami Piet
• Gregory John Pine, DDS
• Pinpoint Wellness Center, PC
• Catherine Polito, FNP
• Chris Polyzois, DPT
• David Pomaville
• Portable Dental Services
• Judi Potts

• Dentist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.