NPIMap

Organization Active NPI

Christopher Sortman DDS, P.C.

Doing business as Community Shores Dental

  • General Practice Dentistry
  • Fruitport, MI
National Provider Identifier
1174881866
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018853 Issued in MI
Legal business name
CHRISTOPHER SORTMAN DDS, P.C.
Doing business as
Community Shores Dental
Practice address
384 N 3Rd Ave Ste a
Fruitport, MI 49415-9773
Phone
(231) 865-6945
Fax
(231) 865-1375
NPI assigned
May 1, 2012
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Christopher Sortman, DDSNPI 1528051570
Title
Presidenta
Phone
(231) 865-6945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018853 MI Primary

Addresses

Primary practice location

384 N 3Rd Ave Ste a
Fruitport, MI 49415-9773

Mailing address

384 N 3Rd Ave Ste a
Fruitport, MI 49415-9773
Phone (231) 865-6945

Other names 1

  • Community Shores Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christopher Sortman DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

384 N 3rd Ave
Ste A
Fruitport, MI 49415
Phone (231) 366-6081

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": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1174881866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 N 3RD AVE STE A",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159773",
            "telephone_number": "231-865-6945",
            "fax_number": "231-865-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 N 3RD AVE STE A",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159773",
            "telephone_number": "231-865-6945",
            "fax_number": "231-865-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER SORTMAN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SORTMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "231-865-6945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Shores Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruitport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.