Organization Active NPI

Tri City Kids Pediatric Dentistry, PC

  • Dental Clinic/Center
  • Bay City, MI
National Provider Identifier
1124760046
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRI CITY KIDS PEDIATRIC DENTISTRY, PC
Practice address
110 E Main St
Bay City, MI 48708-7439
Phone
(989) 892-9888
Fax
(989) 892-8837
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Elizabeth Picard, DMDNPI 1205118080
Title
Owner/ Ceo
Phone
(989) 892-9888

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

110 E Main St
Bay City, MI 48708-7439

Mailing address

110 E Main St
Bay City, MI 48708-7439
Phone (989) 892-9888

National Provider Directory

National Provider Directory

Locations

110 E Main St
Bay City, MI 48708
Phone (989) 892-9888

Practitioners & affiliated clinicians

Practitioners 1

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1124760046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087439",
            "telephone_number": "989-892-9888",
            "fax_number": "989-892-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087439",
            "telephone_number": "989-892-9888",
            "fax_number": "989-892-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY KIDS PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "989-892-9888",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.