Nicole East

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022680 Issued in MI

Practice address

312 Taylor St
Grand Ledge, MI 48837-1569

Phone

(517) 627-2061

NPI assigned

Jul 2, 2018

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Family Dental PLLC

  • Dental Clinic/Center
  • Grand Ledge, MI
  • NPI 1720692106
  NPD Authorized official

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1104312263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488370331",
            "telephone_number": "248-404-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 TAYLOR ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371569",
            "telephone_number": "517-627-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAST",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-05-19",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4631",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Dion, MA, LPC
• Eleanor Dionise
• Divine Mind Consultation Services
• Cassandra Dowker
• E & a Williams Corporation
• Eaton Rapids Medical Center
• Edward D. Ball D.O., P.C.
• Edward Troshak DDS, PC
• Edward W. Sparrow Hospital Association (University of Michigan Health-Sparrow Grand Ledge Pharmacy Plus)
• Edward W. Sparrow Hospital Association (Sparrow Pharmacy Plus #4)

• General Practice Dentistry in Grand Ledge, MI
• Providers in Grand Ledge, 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 19, 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.