Organization Active NPI

Ludington Dental, PLLC

  • Dental Clinic/Center
  • Ludington, MI
National Provider Identifier
1124591011
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUDINGTON DENTAL, PLLC
Practice address
102 S Washington Ave
Ludington, MI 49431-2283
Phone
(231) 843-2751
Fax
(231) 845-8336
NPI assigned
Jan 3, 2019
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Dr. Carissima Ellen Aloe, DDSNPI 1265450563
Title
Owner/Dentist
Phone
(231) 843-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

102 S Washington Ave
Ludington, MI 49431-2283

Mailing address

102 S Washington Ave
Ludington, MI 49431-2283
Phone (231) 843-2751

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1124591011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312283",
            "telephone_number": "231-843-2751",
            "fax_number": "231-845-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312283",
            "telephone_number": "231-843-2751",
            "fax_number": "231-845-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDINGTON DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "ALOE",
        "authorized_official_first_name": "CARISSIMA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "231-843-2751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.