Organization Active NPI

JM Dental Group PC

Doing business as Mendon Keep MI Smile

  • Dentist
  • Mendon, MI
National Provider Identifier
1285436113
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JM DENTAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.