United We Smile

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UNITED WE SMILE

Practice address

4075 Copper Ridge Dr
Traverse City, MI 49684-7059

Phone

(231) 844-4601

Fax

(231) 844-4603

NPI assigned

Jan 2, 2023

Last updated

Apr 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Kerns, BS, RDHNPI 1063721207

Title

Director of Health Initiatives

Phone

(231) 844-4601

Specialties & licenses 1

Addresses

Other names 1

• United Way of Northwest Michigan Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ann Kerns, BS, RDH

  • Dental Hygienist
  • Traverse City, MI
  • NPI 1063721207
  NPD Authorized official
• David J Carlisle, DDS

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1326157413
  NPD
• Kerry Fulcher

  • Social Worker
  • Traverse City, MI
  • NPI 1922878743
  NPD

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1114630415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 COPPER RIDGE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847059",
            "telephone_number": "231-844-4601",
            "fax_number": "231-844-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 COPPER RIDGE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847059",
            "telephone_number": "231-844-4601",
            "fax_number": "231-844-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED WE SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH INITIATIVES",
        "authorized_official_telephone_number": "231-844-4601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Way of Northwest Michigan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "United Way of Northwest Michigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Howard V. Tyree, PA-C
• John Ulrich, PHD
• Ultimacare Home Health Inc. (Albridge Skilled Care)
• Makayla Renee Underwood
• United Soft Good Associates, LLC
• Up North Chiropractic PLLC
• Ryan Matthew Urbonas, D.O.
• Urgent Care of Traverse City PLLC (Walk In Clinic of Traverse City)
• Uscg Airsta Traverse City Clinic
• Uscg Medical Center

• Dental Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.