NPIMap

Organization Active NPI

Comfort Family Dentistry of Kentwood

  • Dentist
  • Kentwood, MI
National Provider Identifier
1144628694
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020529 Issued in MI
Legal business name
COMFORT FAMILY DENTISTRY OF KENTWOOD
Practice address
937 52ND St SE
Kentwood, MI 49508-6003
Phone
(616) 531-1550
Fax
(616) 531-0037
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Andrea Salazar Toth, DDSNPI 1801175054
Title
Owner
Phone
(616) 531-1550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901020529 MI Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901019847 MI

Addresses

Primary practice location

937 52ND St SE
Kentwood, MI 49508-6003

Mailing address

937 52ND St SE
Kentwood, MI 49508-6003
Phone (616) 531-1550

National Provider Directory

National Provider Directory

Locations

937 52nd St SE
Kentwood, MI 49508
Phone (616) 531-1550

Practitioners & affiliated clinicians

Practitioners 2

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1144628694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086003",
            "telephone_number": "616-531-1550",
            "fax_number": "616-531-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086003",
            "telephone_number": "616-531-1550",
            "fax_number": "616-531-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT FAMILY DENTISTRY OF KENTWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "TOTH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SALAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-531-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020529",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.