Organization Active NPI

Miller Creek Family Dental PLLC

  • Dental Clinic/Center
  • Traverse City, MI
National Provider Identifier
1174478796
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MILLER CREEK FAMILY DENTAL PLLC
Practice address
3337 S Airport Rd W Ste 1
Traverse City, MI 49684-7927
Phone
(231) 252-1033
Fax
(231) 252-1066
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Dr. Thomas J Shoniker, DMDNPI 1053973818
Title
Dentist
Phone
(231) 492-3721

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

3337 S Airport Rd W Ste 1
Traverse City, MI 49684-7927

Mailing address

3337 S Airport Rd W Ste 1
Traverse City, MI 49684-7927
Phone (231) 252-1033

National Provider Directory

National Provider Directory

Locations

3337 S Airport Rd W
Ste 1
Traverse City, MI 49684
Phone (231) 252-1033

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": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1174478796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 S AIRPORT RD W STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847927",
            "telephone_number": "231-252-1033",
            "fax_number": "231-252-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 S AIRPORT RD W STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847927",
            "telephone_number": "231-252-1033",
            "fax_number": "231-252-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CREEK FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "SHONIKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "231-492-3721",
        "authorized_official_name_prefix": "Dr.",
        "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 Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.