Active NPI
JM Dental Group PC
Doing business as Mendon Keep MI Smile
- Dentist
- Mendon, MI
National Provider Identifier
1285436113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- JM DENTAL GROUP PC
- Doing business as
- Mendon Keep MI Smile
- Practice address
- 435 E Main St
Mendon, MI 49072-8744 - Phone
- (269) 496-8484
- Fax
- (269) 659-8604
- NPI assigned
- Mar 24, 2025
- Last updated
- Apr 3, 2025
- Organization subpart
- Yes
- Parent organization
- JM DENTAL GROUP, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patsy A Plikerd
- Title
- Billing /Insurance/ Credentialing
- Phone
- (269) 216-9298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
435 E Main St
Mendon, MI 49072-8744
Mailing address
17 Vinewood Ave
Sturgis, MI 49091-2375
Phone (269) 651-6700
Other names 1
- Mendon Keep MI Smile
National Provider Directory
National Provider Directory- Part of
- JM Dental Group PC
Locations
435 E Main St
Mendon, MI 49072
Phone (269) 496-8484
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
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.
-
- General Practice Dentistry
- Mendon, MI
- NPI 1336233030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743638400000",
"number": "1285436113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VINEWOOD AVE",
"city": "STURGIS",
"state": "MI",
"postal_code": "490912375",
"telephone_number": "269-651-6700",
"fax_number": "269-659-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E MAIN ST",
"city": "MENDON",
"state": "MI",
"postal_code": "490728744",
"telephone_number": "269-496-8484",
"fax_number": "269-659-8604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JM DENTAL GROUP PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JM DENTAL GROUP, PC",
"enumeration_date": "2025-03-24",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "PLIKERD",
"authorized_official_first_name": "PATSY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING /INSURANCE/ CREDENTIALING",
"authorized_official_telephone_number": "269-216-9298"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mendon Keep MI Smile",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mendon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.