Individual provider Active NPI

Sonya Ronjona Palit, D.D.S.

  • General Practice Dentistry
  • Kentwood, MI
National Provider Identifier
1275764631
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901023189 Issued in MI
Practice address
5278 Kalamazoo Ave SE
Kentwood, MI 49508-6131
Phone
(616) 531-1550
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 018001725 IL
General Practice Dentistry 1223G0001X 2901023189 MI Primary

Addresses

Primary practice location

5278 Kalamazoo Ave SE
Kentwood, MI 49508-6131

Mailing address

1646 Robinson Rd SE
Grand Rapids, MI 49506-1742
Phone (616) 581-1423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708002363 MI Order and Referring Only - DentistPractitioner - Dentist 8729401849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018001725ILMDGeneral Practice Dentistry
2901023189MIMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: spalit173083@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1275764631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 ROBINSON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061742",
            "telephone_number": "616-581-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 KALAMAZOO AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086131",
            "telephone_number": "616-531-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIT",
        "first_name": "SONYA",
        "middle_name": "RONJONA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "018001725",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901023189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.