Organization Active NPI

West Wind Family &Cosmetic Denistry

  • General Practice Dentistry
  • Portage, MI
National Provider Identifier
1164642906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012321 Issued in MI
Legal business name
WEST WIND FAMILY &COSMETIC DENISTRY
Practice address
1617 E Milham Ave
Portage, MI 49002-3049
Phone
(269) 381-7770
Fax
(269) 381-7790
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory Rogers Smith, D.D.S.NPI 1538389358
Title
Owner
Phone
(269) 381-7770

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
General Practice Dentistry 1223G0001X 012321 MI Primary

Addresses

Primary practice location

1617 E Milham Ave
Portage, MI 49002-3049

Mailing address

3262 Oakdale
Hickory Corners, MI 49060-9318
Phone (269) 671-4432

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164642906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 OAKDALE",
            "city": "HICKORY CORNERS",
            "state": "MI",
            "postal_code": "490609318",
            "telephone_number": "269-671-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023049",
            "telephone_number": "269-381-7770",
            "fax_number": "269-381-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WIND FAMILY &COSMETIC DENISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-381-7770",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.