NPIMap

Organization Active NPI

Belmont Dentistry PLC

  • Dentist
  • Belmont, MI
National Provider Identifier
1275987752
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901017901 Issued in MI
Legal business name
BELMONT DENTISTRY PLC
Practice address
1259 Post Dr NE Ste E
Belmont, MI 49306-8717
Phone
(616) 284-3200
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. John Klooster, DDSNPI 1720151467
Title
Sole Member
Phone
(616) 284-3200

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
Dentist 122300000X 2901017901 MI Primary

Addresses

Primary practice location

1259 Post Dr NE Ste E
Belmont, MI 49306-8717

Mailing address

1259 Post Dr NE Ste E
Belmont, MI 49306-8717
Phone (616) 284-3200

National Provider Directory

National Provider Directory

Locations

1259 Post Dr NE
Ste E
Belmont, MI 49306
Phone (616) 284-3200

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": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1275987752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 POST DR NE STE E",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068717",
            "telephone_number": "616-284-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 POST DR NE STE E",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068717",
            "telephone_number": "616-284-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "KLOOSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "616-284-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.