Santa Fe Family Dentistry LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANTA FE FAMILY DENTISTRY LTD

Practice address

4146 Neuman Rd
Saint Clair, MI 48079-3234

Phone

(810) 941-8983

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Jared Pope, DDS

Title

Ceo

Phone

(505) 988-5850

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1225427396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 LUISA ST",
            "address_2": "STE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054347",
            "telephone_number": "505-988-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 NEUMAN RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793234",
            "telephone_number": "810-941-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE FAMILY DENTISTRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-988-5850",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rewire Your Mind Behavioral Health Counseling Services, LLC
• Robert Reisig DDS PC
• Kathryn Jeanne Robinson, OCCUPATIONAL THERAPY
• Sherry A Russell, MSN APRN BC
• RX Family Home Care Services, LLC
• Kristie Marie Schemansky, PHARMD
• Andrew Schneider, STUDENT
• Helena Marie Schrader
• Gary D Schroyer, DDS
• Emily Grace Schumacher

• General Practice Dentistry in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.