NPIMap

Organization Active NPI

Growing Smiles, PLLC

  • Pediatric Dentistry
  • Richmond, MI
National Provider Identifier
1134570997
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901020657 Issued in MI
Legal business name
GROWING SMILES, PLLC
Practice address
36602 Heritage Dr
Richmond, MI 48062
Phone
(586) 727-5500
Fax
(586) 727-3950
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mrs. Julie M Spinek
Title
General Manager
Phone
(586) 727-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 2901020657 MI Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 2901021820 MI

Addresses

Primary practice location

36602 Heritage Dr
Richmond, MI 48062

Mailing address

51821 Gratiot Ave.
Chesterfield, MI 48051
Phone (586) 727-5500

Other identifiers 2

IdentifierTypeStateIssuer
1083857783OtherMIPEDIATRIC DENTIST
1588911788OtherMIPEDIATRIC DENTIST

National Provider Directory

National Provider Directory

Locations

36602 Heritage Dr
Richmond, MI 48062
Phone (586) 727-5500

Practitioners & affiliated clinicians

Practitioners 4

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": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1134570997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51821 GRATIOT AVE.",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48051",
            "telephone_number": "586-727-5500",
            "fax_number": "586-727-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36602 HERITAGE DR",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "48062",
            "telephone_number": "586-727-5500",
            "fax_number": "586-727-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "SPINEK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "586-727-5500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901020657",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901021820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC DENTIST",
            "identifier": "1083857783",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC DENTIST",
            "identifier": "1588911788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.