NPIMap

Organization Active NPI

Robinson Community Dental Clinic

Doing business as Wayland Dental Clinic

  • Dental Clinic/Center
  • Wayland, MI
National Provider Identifier
1174963375
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901020658 Issued in MI
Legal business name
ROBINSON COMMUNITY DENTAL CLINIC
Doing business as
Wayland Dental Clinic
Practice address
404 W Superior St
Wayland, MI 49348-1223
Phone
(269) 792-0144
Fax
(269) 792-0104
NPI assigned
Jul 2, 2013
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Mrs. Jamie M Freitag, RDH, BISNPI 1730586421
Title
Executive Director
Phone
(616) 295-8070

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 2901020658 MI Primary

Addresses

Primary practice location

404 W Superior St
Wayland, MI 49348-1223

Mailing address

404 W Superior St
Wayland, MI 49348-1223
Phone (269) 792-0144

Other names 1

  • Wayland Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1174963375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481223",
            "telephone_number": "269-792-0144",
            "fax_number": "269-792-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481223",
            "telephone_number": "269-792-0144",
            "fax_number": "269-792-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON COMMUNITY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "FREITAG",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-295-8070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH, BIS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901020658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayland Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayland, MI

Sources for this page

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