Organization Active NPI

Mountford and Ruszkowski Family Dentistry PLLC

  • General Practice Dentistry
  • Grand Haven, MI
National Provider Identifier
1104403401
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOUNTFORD AND RUSZKOWSKI FAMILY DENTISTRY PLLC
Practice address
333 Jackson Ave Ste a
Grand Haven, MI 49417-1067
Phone
(616) 842-0822
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Christopher Michael Mountford, DDSNPI 1619316007
Title
Owner/Dentist
Phone
(313) 575-1876

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

333 Jackson Ave Ste a
Grand Haven, MI 49417-1067

Mailing address

333 Jackson Ave Ste a
Grand Haven, MI 49417-1067
Phone (616) 842-0822

Other names 1

  • Mountford and Ruszkowski Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

333 Jackson Ave
Ste A
Grand Haven, MI 49417
Phone (616) 201-2020

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": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1104403401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 JACKSON AVE STE A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171067",
            "telephone_number": "616-842-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 JACKSON AVE STE A",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171067",
            "telephone_number": "616-842-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTFORD AND RUSZKOWSKI FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "MOUNTFORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "313-575-1876",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountford and Ruszkowski Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.