Family Dentistry Auville M Krause

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTISTRY AUVILLE M KRAUSE

Doing business as

Family Dentistry & Denture Care Clinic

Practice address

6016 Lovers LN
Portage, MI 49002-3050

Phone

(269) 343-6533

Fax

(269) 327-0406

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Sheppard

Title

Office Manager

Phone

(269) 343-6533

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Dentistry & Denture Care Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Auville Milford Krause, D.D.S.

  • General Practice Dentistry
  • Portage, MI
  • NPI 1891819579
  NPD
• Magdalena J. Misiuk, D.D.S.

  • General Practice Dentistry
  • Portage, MI
  • NPI 1871782722
  NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1275144537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 LOVERS LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023050",
            "telephone_number": "269-343-6533",
            "fax_number": "269-327-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 LOVERS LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023050",
            "telephone_number": "269-343-6533",
            "fax_number": "269-327-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY AUVILLE M KRAUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-343-6533"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1891819579",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1871782722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry & Denture Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyeglass Acquisitions Inc (Portage Eyecare Center)
• Eyemart Express
• Eyemart Express LLC
• Faith O Zantjer LLC
• Family Counseling Services LLC
• Family Health Center Inc. (Family Health Center - City of Portage)
• Kayla Fanning
• Thai Farnsworth
• Kim Ann Fatato, LMSW
• Andrew Joseph Fate, MS, PT

• General Practice Dentistry in Portage, MI
• Providers in Portage, 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 Aug 11, 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.