NPIMap

Organization Active NPI

Ferris State University Dental Hygiene Clinic

Doing business as Dental Clinic

  • Dentist
  • Big Rapids, MI
National Provider Identifier
1285813949
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FERRIS STATE UNIVERSITY DENTAL HYGIENE CLINIC
Doing business as
Dental Clinic
Practice address
200 Ferris Dr
VFS 202
Big Rapids, MI 49307-2740
Phone
(231) 591-2260
Fax
(231) 591-3791
NPI assigned
Oct 30, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Annette Ursula Jackson, RDH, BS
Title
DH Clinic Operations Supervisor
Phone
(231) 591-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MI Primary

Addresses

Primary practice location

200 Ferris Dr
VFS 202
Big Rapids, MI 49307-2740

Mailing address

200 Ferris Dr
VFS 202
Big Rapids, MI 49307-2740
Phone (231) 591-2260

Other names 1

  • Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ferris State College of9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Ferris Dr
#202
Big Rapids, MI 49307
Phone (231) 591-2260

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285813949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FERRIS DR",
            "address_2": "VFS 202",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072740",
            "telephone_number": "231-591-2260",
            "fax_number": "231-591-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FERRIS DR",
            "address_2": "VFS 202",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072740",
            "telephone_number": "231-591-2260",
            "fax_number": "231-591-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRIS STATE UNIVERSITY DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "URSULA",
        "authorized_official_title_or_position": "DH CLINIC OPERATIONS SUPERVISOR",
        "authorized_official_telephone_number": "231-591-2284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH, BS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.