Active NPI
Mountford and Ruszkowski Family Dentistry PLLC
- General Practice Dentistry
- Grand Haven, MI
National Provider Identifier
1104403401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Michael Mountford, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Grand Haven, MI
- NPI 1619316007
-
- General Practice Dentistry
- Grand Haven, MI
- NPI 1386717098
-
- General Practice Dentistry
- Grand Haven, MI
- NPI 1316011307
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.